Individual
ANTONELLA QUATTROMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2325 DOUGHERTY FERRY RD, SUITE 205, SAINT LOUIS, MO 63122-3356
(314) 965-0017
Mailing address
CMR 402 BOX 1108, APO, AE 09180-0012
(314) 590-5822
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R4G34
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
R4G34
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202695839
—
MO
Enumeration date
07/08/2006
Last updated
10/21/2025
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