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Individual
MARIA ANTONIOU
Active
Individual
MARIA ANTONIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MD064082L
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD064082L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001740288001
—
PA
01
—
1689600504
MEDICARE NPI
PA
Enumeration date
06/23/2006
Last updated
10/07/2013
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