Individual
WILLIAM M ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
218 SUNSET RD, WILLINGBORO, NJ 08046-1110
(609) 835-3056
(609) 835-5741
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB06319300
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB06319300
NJ
208M00000X
Hospitalist Physician
Primary
25MB06319300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6781403
—
NJ
Enumeration date
07/27/2006
Last updated
12/15/2020
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