Individual
ANTOINETTE M PTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 WELLNESS WAY STE 300, MILFORD, DE 19963-4366
(302) 503-2460
(302) 424-9162
Mailing address
640 S STATE ST, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C1-0004804
DE
Other
Enumeration date
05/27/2005
Last updated
05/11/2023
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