Individual
VINCENT L. DI ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, PMHNP-BC
Contact information
Practice address
714 E MAIN ST STE 1A, MOORESTOWN, NJ 08057-3068
(856) 391-0032
(856) 249-9651
Mailing address
PO BOX 985, BENSALEM, PA 19020-0985
(215) 650-7855
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01413800
NJ
Other
Enumeration date
01/20/2022
Last updated
07/21/2025
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