Individual
DR. JUSTIN M. D'ANTUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PEOPLES PLAZA, SUITE 300, NEWARK, DE 19702-5708
(302) 836-7820
(302) 836-7826
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C7-0003828
DE
208000000X
Pediatrics Physician
MT190804
PA
208D00000X
General Practice Physician
Primary
C10009440
DE
Other
Enumeration date
06/14/2007
Last updated
10/11/2011
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