Healthcare Provider Details

I. General information

NPI: 1629122130
Provider Name (Legal Business Name): OLINDO JOSEPH PRELI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32917 NASSAU COURT SOUTH
LEWES DE
19958
US

IV. Provider business mailing address

32917 NASSAU COURT SOUTH
LEWES DE
19958
US

V. Phone/Fax

Practice location:
  • Phone: 302-853-5864
  • Fax:
Mailing address:
  • Phone: 302-853-5864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD009487E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberMD009487E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: