Individual
LAWRENCE CHARLES ANTONUCCI
Active
Individual
LAWRENCE CHARLES ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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