Most Relevant Information
Provider Data
| NPI Number: | 1003815721 |
| Provider Name: | VADIM LOSHAKOV M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | MD419480 |
Most Important Dates
| Enumeration Date: | 07/14/2005 |
| Last Updated: | 02/13/2020 |
Provider Practice Location
1000 ALLIANCE DR
HAZLETON
PA
182023234
Practice Location Phone/Fax
| Phone: | 5705016450 |
| Fax: | 5705016436 |
Provider Mailing Location
PO BOX 783311
PHILADELPHIA
PA
191783311
Provider Mailing Phone/Fax
| Phone: | 4848844500 |
| Fax: | 4848840699 |
Suggested EMR
OBGYN EMR