Healthcare Provider Details

I. General information

NPI: 1689627390
Provider Name (Legal Business Name): .ARNALDO MARIA OLCESE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE N.N.M.C
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

1303 FALLSMEAD WAY
POTOMAC MD
20854-5523
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4442
  • Fax:
Mailing address:
  • Phone: 301-738-6874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0051516
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: