Individual
CLAIRE JOAN ANTOSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
453 1/2 AMADO ST, SANTA FE, NM 87501-3700
(203) 249-3002
Mailing address
453 1/2 AMADO ST, SANTA FE, NM 87501-3700
(203) 249-3002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012262-1
NY
363A00000X
Physician Assistant
Primary
PA2010-0040
NM
Other
Enumeration date
11/20/2007
Last updated
01/11/2011
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