Individual
DR. ANTONETTE OTIS WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
568 BROADWAY, SUITE 304, NEW YORK, NY 10012-3225
(313) 215-3088
Mailing address
568 BROADWAY, SUITE 304, NEW YORK, NY 10012-3225
(313) 215-3088
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
126062497
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
261819
NY
Other
Enumeration date
09/02/2007
Last updated
12/23/2013
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