Individual
DR. JAMES HOWARD ANTOSZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
96-00165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0494683003
CIGNA
NC
01
—
0841724
UNITED HEALTHCARE
NC
01
—
103936
WELLNESS
NC
01
—
11615
DOCTORS HEALTH PLAN
NC
01
—
11626
BCBS
NC
01
—
175006
COVENTRY
NC
01
—
20082699
SELECT HEALTH OF SC/FIRST CHOICE
SC
01
—
21855
PARTNERS
NC
01
—
376554
MAMSI
NC
01
—
4205345
AETNA
NC
01
—
75514
MEDCOST
NC
01
—
773579
WELLCARE
SC
05
—
8911626
—
NC
05
—
N08204
—
SC
Enumeration date
05/04/2006
Last updated
05/03/2018
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