Organization
JOSEPH D'ANTONIO JR., M.D., PHD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH D'ANTONIO JR. M.D. (DOCTOR)
(410) 879-3336
Entity
Organization
Contact information
Practice address
2205 YORK RD, SUITE 101, TIMONIUM, MD 21093-3163
(410) 296-3416
(410) 296-1796
Mailing address
2205 YORK RD, SUITE 101, TIMONIUM, MD 21093-3163
(410) 296-3416
(410) 296-1796
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058991800
—
MD
Enumeration date
10/02/2007
Last updated
06/30/2010
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