Individual
WILLIAM JOHN ANTOGNOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 MAIN STREET, PECKVILLE, PA 18452
(570) 489-0033
Mailing address
613 MAIN ST, PECKVILLE, PA 18452-2303
(570) 489-0033
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD028396L
PA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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