Individual
LAWRENCE CHARLES ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 ROUTE 24, SUITE E, CHESTER, NJ 07930
(908) 879-1500
(908) 879-1515
Mailing address
415 ROUTE 24, SUITE E, CHESTER, NJ 07930
(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
—
010000599500
AMERICHOICE
—
01
—
0211089000
AMERI HEALTH HMO PIN
—
01
—
0844060
CIGNA
—
01
—
109881
CHN
—
01
—
16131
UHP
—
01
—
2198207
GHI
—
01
—
2K5143
HEALTHNET
—
01
—
303755
US STANLEY
—
01
—
3430588
AETNA HMO
—
01
—
4232346
NON HMO
—
01
—
536P31
WELL CHOICE - CHESTER
—
01
—
536P32
WELL CHOICE - MORRISTOWN
—
01
—
542139628
BC/BS
—
01
—
62677528
MULTI PLAN
—
01
—
68334
LOCAL 825
—
01
—
IS055
OXFORD
—
01
—
P00064234
RR MEDICARE
—
Enumeration date
01/24/2006
Last updated
09/09/2013
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