Provider Demographics
NPI:1780842690
Name:OLAH, MATTHEW NEILL (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:NEILL
Last Name:OLAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:933 E HAVERFORD RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3819
Mailing Address - Country:US
Mailing Address - Phone:484-337-5300
Mailing Address - Fax:610-520-1998
Practice Address - Street 1:933 E HAVERFORD RD
Practice Address - Street 2:SUITE 150
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3819
Practice Address - Country:US
Practice Address - Phone:484-337-5300
Practice Address - Fax:610-520-1998
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2016-01-28
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Provider Licenses
StateLicense IDTaxonomies
PAMD454087207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA440771OtherMLHC MEDICARE AA #
PA232359401OtherMLHC TIN