Provider Demographics
NPI:1497327332
Name:OLBERG, ROBERT ABRAM (PA-C)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ABRAM
Last Name:OLBERG
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1574 MEMORIAL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-3548
Mailing Address - Country:US
Mailing Address - Phone:413-355-0952
Mailing Address - Fax:
Practice Address - Street 1:1 DENSLOW RD
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3104
Practice Address - Country:US
Practice Address - Phone:413-565-1501
Practice Address - Fax:413-565-1497
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant