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Oleg Antonov Md Pc
Specialist in Philadelphia, Pennsylvania
NPI 1396186201

Oleg Antonov Md Pc is a Specialist based in Philadelphia, PA. Oleg Antonov Md Pc practices in Philadelphia, PA. The NPI Number for Oleg Antonov Md Pc is 1396186201 and holds a License No. (Pennsylvania).

The current practice location address for Oleg Antonov Md Pc is 11400 Bustleton Ave, Philadelphia, PA and can be reached out via phone at 215-111-1111.

Location: 11400 Bustleton Ave, Philadelphia, PA, 19116-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396186201
Provider Name
Oleg Antonov Md Pc
Credential
Provider Entity Type
Organization
Address
11400 Bustleton Ave, Philadelphia, PA, 19116-2815
Phone Number
215-111-1111
Fax Number
Provider Enumeration Date
07/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11400 Bustleton Ave
City
Philadelphia
State
Pennsylvania
Zip
19116
Phone Number
215-111-1111
Fax Number
person
Provider Business Mailing Address Details
Address
11400 Bustleton Ave
City
Philadelphia
State
Pennsylvania
Zip
19116
Phone Number
215-111-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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