Individual
DR. MICHAEL JACOB ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10070767
TX
207RG0100X
Gastroenterology Physician
Primary
84542
CT
207RG0100X
Gastroenterology Physician
BP20085302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10070767
PHYSICIAN IN TRAINING
TX
Enumeration date
06/10/2020
Last updated
04/19/2026
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