Individual
DR. OLEG E. BRONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-7802
(570) 271-6301
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD420586
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001957221
—
PA
Enumeration date
08/11/2005
Last updated
06/11/2020
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