Individual
DR. KRISTINA ANTANAVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5365
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C10010170
DE
207L00000X
Anesthesiology Physician
MD432253
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022649500001
—
PA
Enumeration date
08/25/2008
Last updated
01/21/2013
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