Individual
ANTONIOS THALASSINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 STONE HARBOR BLVD, CAPE MAY COURT HOUSE, NJ 08210-2138
(609) 463-2458
Mailing address
PO BOX 593, CAPE MAY COURT HOUSE, NJ 08210-0593
(609) 463-2458
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB07931100
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MB07931100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094196
—
NJ
01
—
P00306633
RAILROAD MEDICARE
NJ
Enumeration date
03/10/2006
Last updated
10/23/2007
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