Individual
DR. HEATH ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 VERONICA AVE STE 205, SOMERSET, NJ 08873-3491
(732) 640-5316
Mailing address
81 VERONICA AVE STE 205, SOMERSET, NJ 08873-3491
(732) 640-5316
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA10177100
NJ
208600000X
Surgery Physician
35129604
OH
208600000X
Surgery Physician
4301099228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265728638
—
MI
Enumeration date
06/23/2011
Last updated
02/08/2021
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