Individual
JOHN VITO ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 FULTON ST, PONTIAC, MI 48341-2755
(248) 338-0300
(248) 338-0663
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301081739
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046261
HEALTH PLUS OF MICHIGAN THRU OAKLAND PHYSICIANS NETWORK SERVICES (OPNS)
MI
01
—
200811
UNITED HEALTHCARE COMMUNITY PLAN
MI
01
—
9209246
AETNA THRU OAKLAND PHYSICIANS NETWORK SERVICES
MI
01
—
P01013930
RAILROAD MEDICARE
MI
Enumeration date
05/10/2007
Last updated
10/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us