Individual
DR. OKSANA BALTAROWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD025913E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000822057
—
PA
05
—
5443806
—
NJ
Enumeration date
07/07/2006
Last updated
10/27/2014
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