Individual
DR. NEDIL ALDARONDO-ANTONINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 W SILVER LAKE RD STE 2, FENTON, MI 48430-2662
(956) 286-3605
(810) 629-2377
Mailing address
2545 W SILVER LAKE RD STE 2, FENTON, MI 48430-2662
(810) 243-0707
(810) 208-0311
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301069064
MI
207N00000X
Dermatology Physician
E-9369
AR
207N00000X
Dermatology Physician
K9972
TX
207N00000X
Dermatology Physician
ME115217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008482500
—
FL
01
—
14P63
BLUE CROSS/BLUE SHIELD
FL
05
—
160674101
—
TX
05
—
210918001
—
AR
01
—
5BD34
BLUE CROSS BLUE SHIELD
AR
01
—
8H9860
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/13/2007
Last updated
05/13/2024
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