Individual
DR. JOSEPH DEANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 PRINCETON PIKE, BLDG 4, SUITE C, LAWRENCEVILLE, NJ 08648
(609) 882-2185
(609) 882-0347
Mailing address
PO BOX 914, PENNINGTON, NJ 08534-0914
(609) 882-2185
(609) 882-4484
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA05619900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4515200
—
NJ
Enumeration date
08/08/2006
Last updated
09/05/2013
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