Organization
OLEG VOLCHONOK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG VOLCHONOK M.D. (PRESIDENT)
(215) 969-8446
Entity
Organization
Contact information
Practice address
11400 BUSTLETON AVE, PHILADELPHIA, PA 19116-2815
(215) 969-8446
(215) 969-4451
Mailing address
11400 BUSTLETON AVE, PHILADELPHIA, PA 19116-2815
(215) 969-8446
(215) 969-4451
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD055985L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015313860007
—
PA
Enumeration date
05/02/2008
Last updated
04/05/2010
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