OrganizationActive
Bustleton Healthcare
NPI 1588107668 · Primary Care Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1588107668
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Cardiology Consultants of Greater Philadelphia PC
- Organization subpart
- Yes
- Authorized official
- Irina Joukova, President(267) 307-9236
- License
- MD 435017 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
9867 Bustleton Ave
Suite B
Philadelphia, PA 19115-2611
Phone: (215) 698-9295
Approximate (ZIP-level) locationGet directions
Mailing address
9867 Bustleton Ave
Philadelphia, PA 19115-2611
Registry dates
- Enumerated
- 2016-11-22
- Last updated
- 2016-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.