<Unavail>

LBN: Oleg Antonov Md Pc
<Unavail> is an health care organization with primary practice located at 11400 Bustleton Ave , Philadelphia PA 19116. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Oleg Antonov Md Pc can be contacted via phone (215) 111-1111, or through Antonov, Oleg via phone (215) 111-1111.

Contact Information

Primary practice address
11400 Bustleton Ave Philadelphia PA 19116
Phone: (215) 111-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Antonov, Oleg Doctor of Medicine (MD)
Phone: (215) 111-1111

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1396186201
LBN Legal business name Oleg Antonov Md Pc
DBA Doing business as <Unavail>
Authorized official Antonov, Oleg Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2013
Last updated Jul 9th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers