Individual
DR. JOSEPH M ANTARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
UROLOGIST
Contact information
Practice address
388 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-1535
(908) 387-9207
(908) 387-9311
Mailing address
388 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-1535
(908) 387-9207
(908) 387-9311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1741381
NY
174400000X
Specialist
Primary
25MA06029500
NJ
174400000X
Specialist
MD051575L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001501467003
—
NJ
05
—
001501467004
—
PA
01
—
78025421057300
HORIZON OF NJ
NJ
Enumeration date
07/22/2005
Last updated
03/02/2016
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