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Individual
MARK DARRYL ANTONACCI
Active
Individual
MARK DARRYL ANTONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
213845-1
NY
207X00000X
Orthopaedic Surgery Physician
Primary
25MA06999100
NJ
207X00000X
Orthopaedic Surgery Physician
MD068759L
PA
Other
Enumeration date
03/09/2006
Last updated
11/27/2007
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