Individual
DR. OLEG VOLCHONOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11400 BUSTLETON AVE, PHILADELPHIA, PA 19116-2815
(215) 969-8446
(215) 969-4451
Mailing address
1618 ASTOR DR, CHERRY HILL, NJ 08003-3548
(215) 969-8446
(215) 969-4451
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MA 064781
NJ
207RG0100X
Gastroenterology Physician
Primary
MD 055985-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015313860007
—
PA
01
—
0443857000
AMERIHEALTH
NJ
01
—
0443857000
INDEPENDENCE BLUE CROSS
PA
01
—
1761748
UNITED HEALTHCARE
PA
01
—
2213876003
CIGNA
PA
01
—
5764478
AETNA
PA
05
—
7185201
—
NJ
Enumeration date
06/03/2006
Last updated
10/02/2014
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