Individual
SEAN PATRICK ANTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3477
(937) 641-5410
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.126017
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.126017
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.126017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178937
—
OH
Enumeration date
09/30/2011
Last updated
10/05/2023
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