Provider Demographics
NPI:1346747052
Name:OLEXA, GLORIBEL LE (MD)
Entity type:Individual
Prefix:DR
First Name:GLORIBEL
Middle Name:LE
Last Name:OLEXA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:900 E FORT AVE APT 703
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5505
Mailing Address - Country:US
Mailing Address - Phone:240-723-1129
Mailing Address - Fax:
Practice Address - Street 1:15235 SHADY GROVE RD STE 105
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6278
Practice Address - Country:US
Practice Address - Phone:301-990-3030
Practice Address - Fax:301-990-6767
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0091714208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics