Organization Name: | ANTONIO B VALENTIN MD PA |
NPI Number: | 1407864309 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTONIO B VALENTIN (PRESIDENT) |
Mailing Address: | 7313 Hanover Pkwy #a Greenbelt |
State: | MA US |
Postal Code: | 20770 |
Phone Number: | 3014748998 |
Fax Number: | 3014748999 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0014252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |