Individual
JOHN L ANTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9306 FOREST POINT CIR, MANASSAS, VA 20110-4700
(703) 330-3322
(703) 330-5051
Mailing address
9306 FOREST POINT CIR, MANASSAS, VA 20110-4700
(703) 330-3322
(703) 330-5051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101023164
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6049311
—
VA
Enumeration date
03/31/2006
Last updated
10/13/2016
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