Organization · Type 2 NPI

Oleg Antonov MD PC

Specialist · Philadelphia, PA

NPI number 1396186201 Active

Practice location

11400 Bustleton Ave
Philadelphia, PA 19116

Call (215) 111-1111 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1396186201

Oleg Antonov MD PC's National Provider Identifier is 1396186201, issued on Jul 9, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 9, 2013.