Organization
CHARLES H. ANTINORI, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H ANTINORI (OWNER)
(609) 465-3090
Entity
Organization
Contact information
Practice address
212 N MAIN ST, CAPE MAY COURT HOUSE, NJ 08210-2122
(609) 465-3090
(609) 465-3109
Mailing address
212 N MAIN ST, CAPE MAY COURT HOUSE, NJ 08210-2122
(609) 465-3090
(609) 465-3109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03721000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041502
—
NJ
01
—
P00104418
RAILROAD MEDICARE
NJ
Enumeration date
05/26/2006
Last updated
10/29/2007
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