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Contact Information

OLEG ANTONOV MD PC
11400 BUSTLETON AVE
PHILADELPHIA, PA19116
 Phone: 215-111-1111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for OLEG ANTONOV MD PC

NPI Number 1396186201
LBN Legal business name OLEG ANTONOV MD PC
Authorized official OLEG ANTONOV - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2013
Last updated 07/09/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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