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11400 BUSTLETON AVENUE
NPI 1396186201
Specialist in Philadelphia, PA

Active since July 09, 2013
11400 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 111-1111 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 11400 Bustleton Avenue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

11400 BUSTLETON AVENUE (NPI 1396186201) is a healthcare organization registered as a specialist in Philadelphia, Pennsylvania and active in the NPI registry since July 2013. The organization lists Oleg Antonov, Owner, as its authorized official.

NPPES Registry Identity

NPI1396186201
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOLEG ANTONOV MD PC
Location Address11400 BUSTLETON AVEPhiladelphia, PA 19116
Mailing Address11400 Bustleton AvePhiladelphia, PA 19116-2815 · (215) 111-1111
Phone(215) 111-1111
Organization SubpartNo
Authorized OfficialOleg AntonovOwner · (215) 111-1111
Enumeration DateJuly 9, 2013
✔ NPI 1396186201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
11400 BUSTLETON AVE, Philadelphia, PA 19116
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Other Names 1

Doing Business As11400 Bustleton Avenue

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLEG VOLCHONOK M.D.
Internal Medicine (Gastroenterology)
11400 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (215) 969-8446
AP INFUSIONS PLUS WEIGHT MANAGEMENT
Nurse Practitioner (Acute Care)
11400 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (215) 479-2606
OLEG ANTONOV MD PC
Dermatology
11400 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (267) 639-0528
RDS REHABILITATION ASSOCIATES, P.C.
Specialist
11400 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (267) 684-6056
OLEG VOLCHONOK, MD, PC
Internal Medicine (Gastroenterology)
11400 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (215) 969-8446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oleg Antonov MD PC's NPI number?

The NPI number for Oleg Antonov MD PC is 1396186201. It was assigned to this organization in the NPPES registry on July 9, 2013. The provider is doing business as 11400 Bustleton Avenue.

Where is Oleg Antonov MD PC located?

Oleg Antonov MD PC is located at 11400 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (215) 111-1111.

What is Oleg Antonov MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Oleg Antonov MD PC was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.