Individual
ANTONOWSKY D COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRY MD
Contact information
Practice address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2350
(814) 643-8880
Mailing address
PO BOX 21231, 200 UNIVERSITY BLVD, TUSCALOOSA, AL 35402-1231
(205) 759-0904
(205) 759-0931
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
00024899
AL
2084P0800X
Psychiatry Physician
Primary
MD482601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051529652
BC
AL
05
—
051556361
—
AL
05
—
1042228050001
—
PA
Enumeration date
08/23/2006
Last updated
09/27/2023
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