Oleg Antonov MD PC
Oleg Antonov MD PC is a Dermatology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- PA
- In the registry since
- 2014
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11400 Bustleton AvePhiladelphia, PA 19116-2815
Phone: (267) 639-0528
Fax: (215) 969-4451
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence MD432473 (PA) |
|---|
Record details
| NPI number | 1710307087 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Oleg Antonov — Owner · (267) 639-0528 |
| NPI enumerated | April 24, 2014 |
| Last updated in NPPES | April 24, 2014 |
| Mailing address | 11400 Bustleton Ave, Philadelphia, PA 19116-2815 |
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