Doctor Name: | DR. JOSEPH M ANTARIO |
NPI Number: | 1154321800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | UROLOGIST |
License Number: | MD051575L |
Business Practice Address: | 388 Memorial Pkwy Phillipsburg, NJ - 088651535 |
Business Phone Number: | 9083879207 |
Business Fax Number: | 9083879311 |
Mailing Address: | 388 Memorial Pkwy, PHILLIPSBURG |
State: | NJ |
Postal Code: | 088651535 |
Phone Number: | 9083879207 |
Fax Number: | 9083879311 |
NPI Enumeration Date: | 07/22/2005 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/21/2006 |
NPI Reactivation Date: | 03/29/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD051575L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |