IndividualActive
Alan Olson
NPI 1033495684 · Medical Physician Assistant · Bridgeport, CT
Provider details
- NPI number
- 1033495684
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 002643 (CT)
Mailing address
77 Chestnut Dr
Derby, CT 06418-2310
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2011-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.