Individual
DR. NICHOLAS GEORGE ANTALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(667) 234-6000
Mailing address
11000 WOODLANDS TER, CAMBRIDGE, OH 43725-7515
(740) 421-0752
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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