Healthcare Provider Details

I. General information

NPI: 1447489505
Provider Name (Legal Business Name): ROBERT F. OLSZEWSKI JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 05/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON ROAD
NEWARK DE
19718-1320
US

IV. Provider business mailing address

2 READS WAY STE. 201
NEW CASTLE DE
19720-1630
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-1000
  • Fax: 302-733-2685
Mailing address:
  • Phone: 302-709-4709
  • Fax: 302-709-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD448407
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD448407
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberC7-0004885
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberC1-0010866
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR-0010040
License Number StateDE
# 6
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberC1-0010866
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: