MEDICARE: HEATHER A. OLEX DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	OS013523	PA
2	208M00000X	Hospitalist Physician	OS013523	PA
3	207R00000X	Internal Medicine Physician	OS013523	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689681918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER A. OLEX DO

Provider Business Mailing Address
First Line	:	270 CEDAR GROVE ROAD
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3544 WEST CHESTER PIKE
Second Line	:	SUITE 217
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073
Country	:	US
Telephone Number	:	610-526-4097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	01/04/2018

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Directions to “ HEATHER A. OLEX DO” Practice Location

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