Organization
T.J. ANTICH, MS,RPT,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. T. T. ANTICH MS, RPT (PRESIDENT/OWNER)
(610) 935-3500
Entity
Organization
Contact information
Practice address
4 ONEIDA COURT, SUITE 100, CHESTER SPRINGS, PA 19425-2934
(610) 935-3500
(910) 903-0637
Mailing address
4 ONEIDA COURT, SUITE 100, CHESTER SPRINGS, PA 19425-2934
(610) 935-3500
(610) 903-0637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT001384E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247446000
PA. BLUE CROSS
PA
01
—
643672
PA. BLUE SHIELD
PA
Enumeration date
05/24/2006
Last updated
07/22/2015
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