Individual
DR. GEORGE JAMES ANTALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
QV SHOPPING CENTER, SUITE 2A OHIO RIVER BLVD, LEETSDALD, PA 15056
(724) 773-4502
(412) 749-6787
Mailing address
12 QV SHOPPING CENTER, STE 2A, OHIO RIVER BLVD, LEETSDALE, PA 15056
(724) 773-4502
(412) 749-6787
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD05794L
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD057974L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017024830001
—
PA
Enumeration date
07/21/2006
Last updated
09/16/2015
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