Provider Demographics
NPI:1013114461
Name:OLEX, STEPHEN TODD (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:TODD
Last Name:OLEX
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:106 S CLAUDE A LORD BLVD
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-3602
Practice Address - Country:US
Practice Address - Phone:570-728-2424
Practice Address - Fax:570-728-2425
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2022-12-05
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Provider Licenses
StateLicense IDTaxonomies
PAMD433625207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease