Individual
STEPHEN J ANTONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19500 SANDRIDGE WAY STE 470, LEESBURG, VA 20176-3694
(703) 771-9001
(703) 771-9076
Mailing address
19500 SANDRIDGE WAY STE 470, LEESBURG, VA 20176-3694
(703) 771-9001
(703) 771-9076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036113018
IL
207RG0100X
Gastroenterology Physician
Primary
0101245281
VA
Other
Enumeration date
11/30/2005
Last updated
10/06/2021
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