Healthcare Provider Details

I. General information

NPI: 1104964584
Provider Name (Legal Business Name): OLENA DUTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 COAL VALLEY RD
JEFFERSON HILLS PA
15025-3703
US

IV. Provider business mailing address

565 COAL VALLEY RD
JEFFERSON HILLS PA
15025-3703
US

V. Phone/Fax

Practice location:
  • Phone: 412-267-6810
  • Fax:
Mailing address:
  • Phone: 412-267-6810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD462703
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: