Provider Demographics
NPI:1326218371
Name:P. ROSSELLO, OLGA M (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:M
Last Name:P. ROSSELLO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:101 W RIDGELY RD
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5101
Mailing Address - Country:US
Mailing Address - Phone:240-292-1196
Mailing Address - Fax:410-825-0513
Practice Address - Street 1:101 W RIDGELY RD
Practice Address - Street 2:SUITE 7A
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5101
Practice Address - Country:US
Practice Address - Phone:240-292-1196
Practice Address - Fax:410-825-0513
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2012-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00425632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry