Provider Demographics
NPI:1407055361
Name:OLIWA, NEIL W (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:W
Last Name:OLIWA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:907 SUMNER STREET, M201
Mailing Address - Street 2:GUARDIAN ANESTHESIA INC.
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072
Mailing Address - Country:US
Mailing Address - Phone:781-344-2325
Mailing Address - Fax:781-341-8544
Practice Address - Street 1:907 SUMNER STREET, M201
Practice Address - Street 2:GUARDIAN ANESTHESIA INC.
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072
Practice Address - Country:US
Practice Address - Phone:781-344-2325
Practice Address - Fax:781-341-8544
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2011-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA231169207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology