Individual
DR. RICHARD G D'ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 BRECON PL, STE. 410, COCKEYSVILLE, MD 21030-2343
(410) 825-3416
(410) 296-1796
Mailing address
12 BRECON PL, STE. 410, COCKEYSVILLE, MD 21030-2343
(410) 825-3416
(410) 296-1796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D32929
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550891600
—
MD
Enumeration date
06/30/2006
Last updated
01/10/2014
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