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Individual

DR. HARRY J DEANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
115 HEART DR, EAST CAROLINA HEART INSTITUTE @ ECU DEPT. OF CVS, GREENVILLE, NC 27834-8944
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3520
(252) 744-3194

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38040
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28012
BCBS NC
NC
01
60045037
RAILROAD MEDICARE
NC
05
8928012
NC
Enumeration date
08/02/2005
Last updated
11/02/2011
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