OLEG ANTONOV MD PC

PHILADELPHIA, PA
NPI1710307087
Entity TypeOrganization
Authorized ContactOLEG ANTONOV
Owner
267-639-0528
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: PA  md432473)
Enumeration Date2014-04-24
Last Update Date2014-04-24
Business Address
OLEG ANTONOV MD PC
11400 BUSTLETON AVE
PHILADELPHIA, PA 19116-2815
Phone number: 267-639-0528
Mailing Address
OLEG ANTONOV MD PC
11400 BUSTLETON AVE
PHILADELPHIA, PA 19116-2815
Phone number: 267-639-0528
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