National Provider Identifier Database

OLEG ANTONOV MD PC
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.


Contact Information

OLEG ANTONOV MD PC
11400 BUSTLETON AVE
PHILADELPHIA, PA19116
Phone: 215-111-1111
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for OLEG ANTONOV MD PC

NPI Number 1396186201
Legal business name
LBN
OLEG ANTONOV MD PC
Authorized official OLEG ANTONOV - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/09/2013
Last updated 07/09/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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