Provider Demographics
NPI:1164427241
Name:OLIVIA, CHRISTOPHER T (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:T
Last Name:OLIVIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30 ISABELLA STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-330-2403
Mailing Address - Fax:412-330-2410
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:RM 510
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-7720
Practice Address - Fax:856-342-6620
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-12-13
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Provider Licenses
StateLicense IDTaxonomies
NJ24MA07196600207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8890901Medicaid
NJ055752Medicare PIN
F42421Medicare UPIN