Individual
MARK DARRYL ANTONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 PRINCETON PIKE, BUILDING 1, LAWRENCEVILLE, NJ 08648-2300
(609) 912-1500
(609) 912-1600
Mailing address
3100 PRINCETON PIKE, BUILDING 1, LAWRENCEVILLE, NJ 08648-2300
(609) 912-1500
(609) 912-1600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
213845-1
NY
207X00000X
Orthopaedic Surgery Physician
Primary
25MA06999100
NJ
207X00000X
Orthopaedic Surgery Physician
MD068759L
PA
Other
Enumeration date
03/09/2006
Last updated
11/27/2007
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