Provider Demographics
NPI:1801951736
Name:OLDS, DAVID D (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:OLDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 420
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-0420
Mailing Address - Country:US
Mailing Address - Phone:917-359-7355
Mailing Address - Fax:413-528-3166
Practice Address - Street 1:2 EAST RD
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1946
Practice Address - Country:US
Practice Address - Phone:917-359-7355
Practice Address - Fax:413-528-3166
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2022-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1019172084P0800X
MA2344292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry