Healthcare Provider Details

I. General information

NPI: 1669450326
Provider Name (Legal Business Name): CHRISTOPHER JOHN OLLARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MEDICAL CENTER DR SUITE 206
SPRINGFIELD MA
01107-1270
US

IV. Provider business mailing address

2 MEDICAL CENTER DR SUITE 206
SPRINGFIELD MA
01107-1270
US

V. Phone/Fax

Practice location:
  • Phone: 413-794-8484
  • Fax: 413-794-8477
Mailing address:
  • Phone: 413-794-8484
  • Fax: 413-794-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number159547
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: