Individual
MRS. ILEANA ANTONIADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
207 ROUTE 71, SPRING LAKE, NJ 07762-1875
(732) 359-7232
(732) 359-7233
Mailing address
207 ROUTE 71, SPRING LAKE, NJ 07762-1875
(732) 359-7232
(732) 359-7233
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MA 058058
NJ
Other
Enumeration date
12/30/2005
Last updated
03/25/2012
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