Individual
DR. JOSE K ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2511 OLD CORNWALLIS RD STE 200, DURHAM, NC 27713-1869
(919) 932-5700
(919) 933-6881
Mailing address
2511 OLD CORNWALLIS RD STE 200, DURHAM, NC 27713-1869
(919) 932-5700
(919) 933-6881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28834
NC
207RC0000X
Cardiovascular Disease Physician
Primary
28834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110137974
MEDICARE RAILROAD NUMBER
NC
01
—
11601
BCBS NUMBER
NC
01
—
28834
DR ANTONY LIC NUMBER
NC
05
—
8911601
—
NC
Enumeration date
02/27/2006
Last updated
02/26/2013
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