Dermatology
OLEG ANTONOV MD PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1710307087 · enumerated 2014-04-24 · record updated 2014-04-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. OLEG ANTONOV M.D., Owner · (267) 639-0528
Addresses and phones
- Practice location 11400 BUSTLETON AVE, PHILADELPHIA, PA, 19116-2815 (267) 639-0528 Fax (215) 969-4451 Google Maps Apple Maps OpenStreetMap
- Mailing address 11400 BUSTLETON AVE, PHILADELPHIA, PA, 19116-2815 (267) 639-0528 Fax (215) 969-4451 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License md432473 PA
In this directory
Locations and evidence
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Practice location
PHILADELPHIA, PA, 191162815
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.