Individual
DR. MICHELE LOUISE DEANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 TERRACE ST, HAWORTH, NJ 07641-1845
(201) 439-1200
(201) 439-1208
Mailing address
160 TERRACE ST, HAWORTH, NJ 07641-1845
(201) 439-1200
(201) 439-1208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA48825
NJ
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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