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Individual

ATHENA H LANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 426-3002
Mailing address
130 KINDERKAMACK RD STE 200, RIVER EDGE, NJ 07661-1931
(201) 488-2660
(201) 489-2812

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA06383500
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
81249
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9078703
NJ
Enumeration date
12/28/2006
Last updated
07/04/2025
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