Individual provider · Type 1 NPI

Olga V. Petrova, PA-C

Medical Physician Assistant · Newark, DE

NPI number 1316066038 Active

Practice location

2600 Glasgow Ave, Suite 100
Newark, DE 19702-4773

Fax (302) 836-8370

Mailing address

200 Hygeia Dr, Suite 2300
Newark, DE 19713-2049

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC50000368 (DE)

Medical Physician Assistant: Definition to come...

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About NPI 1316066038

Olga V. Petrova, PA-C's National Provider Identifier is 1316066038, issued on Mar 28, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, DE. The record was last updated on Jan 4, 2016.