Organization Name: | LAWRENCE C. ANTONUCCI MD LLC |
NPI Number: | 1023092368 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE C ANTONUCCI (OWNER) |
Mailing Address: | 415 Route 24 Su E Chester |
State: | NJ US |
Postal Code: | 079302920 |
Phone Number: | 9088791500 |
Fax Number: | 9088791515 |
NPI Enumeration Date: | 11/30/2005 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 25MA04759200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |