Organization
LAWRENCE C. ANTONUCCI MD LLC
Active
Organization
LAWRENCE C. ANTONUCCI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE C ANTONUCCI MD (OWNER)
(908) 879-1500
Entity
Organization
Contact information
Practice address
415 ROUTE 24, SU E, CHESTER, NJ 07930-2920
(908) 879-1500
(908) 879-1515
Mailing address
415 ROUTE 24, SU E, CHESTER, NJ 07930-2920
(908) 879-1500
(908) 879-1515
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04759200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109881
CHN
—
01
—
2198207
GHI
—
01
—
2K5143
HEALTH NET
—
01
—
303755
US STANLEY
—
01
—
536P31
WELL CHOICE CHESTER
—
01
—
536P32
MORRISTOWN
—
01
—
IS055
OXFORD
—
Enumeration date
11/30/2005
Last updated
02/11/2014
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