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NPI 1891936779 · live from the CMS NPI Registry

Olga Akselrod, PA-C

Physician Assistant in Montvale, NJ. National Provider Identifier 1891936779, active.

NPI record

NPI1891936779 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location225 Summit Ave, Montvale, NJ 07645
Practice phone201-775-7512
EnumeratedMarch 23, 2009
Last updatedNovember 6, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Surgical363AS0400X25MP 00215100 (NJ)
Physician Assistant, Surgical363AS0400X013140-1 (NY)
Physician Assistant primary363A00000X25MP00215100 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.