Individual
SHAUN C ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7400
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1018171
MA
207P00000X
Emergency Medicine Physician
U5343
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/17/2021
Last updated
07/11/2024
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