Individual
VADIM LOSHAKOV I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 ALLIANCE DR, HAZLETON, PA 18202-3234
(570) 501-6450
(570) 501-6436
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD419480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001922638-0002
—
PA
Enumeration date
07/14/2005
Last updated
02/13/2020
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