Provider Demographics
NPI:1588345094
Name:OLIVERO, DANIEL JR (MA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:OLIVERO
Suffix:JR
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 SKYTOP MOUNTAIN RD STE 4
Mailing Address - Street 2:
Mailing Address - City:PORT MATILDA
Mailing Address - State:PA
Mailing Address - Zip Code:16870-7725
Mailing Address - Country:US
Mailing Address - Phone:814-499-3009
Mailing Address - Fax:
Practice Address - Street 1:1243 SKYTOP MOUNTAIN RD STE 4
Practice Address - Street 2:
Practice Address - City:PORT MATILDA
Practice Address - State:PA
Practice Address - Zip Code:16870-7725
Practice Address - Country:US
Practice Address - Phone:814-499-3009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program