Individual
ANTONIO MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8673
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
245132
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
245132
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA09814000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03108638
—
NY
Enumeration date
08/11/2008
Last updated
12/16/2024
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