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Individual

JACOB ANDREW D'ANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6998 CRIDER RD STE 110, MARS, PA 16046-2390
(866) 874-7483
Mailing address
241 CLEARBROOK CT, CRANBERRY TOWNSHIP, PA 16066-5621

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
10/10/2022
Last updated
10/10/2022
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