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Individual
DR. MATTHEW MICHAEL ANTONUCCI
Active
Individual
DR. MATTHEW MICHAEL ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., D.A.C.N.B
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
3613
SC
111NN1001X
Nutrition Chiropractor
3613
SC
111NP0017X
Pediatric Chiropractor
3613
SC
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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