Provider Demographics
NPI:1447592720
Name:OLARU, ALEXANDRU VASILE (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRU
Middle Name:VASILE
Last Name:OLARU
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 1:123 W MARKET ST
Mailing Address - Street 2:APT. 3
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-1850
Mailing Address - Country:US
Mailing Address - Phone:443-653-0403
Mailing Address - Fax:
Practice Address - Street 1:7801 YORK RD STE 342
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7449
Practice Address - Country:US
Practice Address - Phone:410-321-6055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD868282084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology