Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bustleton Healthcare

Organization Medical Specialty Clinic/Center · NPI 1588107668

Bustleton Healthcare is a Medical Specialty Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

9867 Bustleton Ave Ste B
Philadelphia, PA 19115-2611
Phone: (215) 698-9295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence MD 435017 (PA)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence MD 435017 (PA)

Record details

NPI number1588107668
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCardiology Consultants of Greater Philadelphia PC
Authorized official Irina Joukova — President · (267) 307-9236
NPI enumeratedNovember 22, 2016
Last updated in NPPESNovember 22, 2016
Mailing address9867 Bustleton Ave, Suite B, Philadelphia, PA 19115-2611

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