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SPIRO B ANTONIADES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2014 S TOLLGATE RD STE 107, BEL AIR, MD 21015-6010
(410) 446-8747
(443) 643-2088
Mailing address
2014 S TOLLGATE RD STE 107, BEL AIR, MD 21015-6010
(410) 877-7776
(443) 402-1221

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D0047688
MD
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
D0047688
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032500700
MD
01
F 482 / 001
BLUE CHOICE
MD
01
LZ51/546417-06, 07,
BS / BC OF MD
MD
01
LZ51/546417-08, 09
BC /BS OF MD
MD
Enumeration date
09/05/2006
Last updated
12/03/2024
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