Individual
ALEXANDER ANTONENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 LANDIS AVENUE, VINELAND, NJ 08360
(856) 451-4700
(856) 451-8685
Mailing address
53 S. LAUREL STREET 2ND FLOOR, BRIDGETON, NJ 08302
(856) 451-4700
(856) 451-8685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08682600
NJ
Other
Enumeration date
07/09/2008
Last updated
07/28/2010
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