Individual
JOHN ANTONIADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 RICHARD KNOLL, HAVERFORD, PA 19041
(610) 649-0754
Mailing address
404 RICHARD KNOLL, HAVERFORD, PA 19041
(610) 649-0754
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD031462L
PA
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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