Individual
KEVIN ANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-7236
(215) 503-4921
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-7236
(215) 503-4921
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD461390
PA
2085R0204X
Vascular & Interventional Radiology Physician
25MA11895700
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD461390
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2012
Last updated
11/20/2023
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