Provider Demographics
NPI:1437361243
Name:OLSON, DAVID MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MATTHEW
Last Name:OLSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 7TH AVE
Mailing Address - Street 2:DOCTORS WITHOUT BORDERS/MSF
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5004
Mailing Address - Country:US
Mailing Address - Phone:212-679-6800
Mailing Address - Fax:
Practice Address - Street 1:333 7TH AVE
Practice Address - Street 2:DOCTORS WITHOUT BORDERS/MSF
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5004
Practice Address - Country:US
Practice Address - Phone:212-679-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2341811207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease