Antalis, George James

Antalis, George James is an sole proprietor health care provider with primary practice located at Qv Shopping Center Suite 2A Ohio River Blvd, Leetsdald PA 15056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Antalis, George James can be contacted via phone (724) 773-4502.

Contact Information

Primary practice address
Qv Shopping Center Suite 2A Ohio River Blvd Leetsdald PA 15056
Phone: (724) 773-4502
Fax: (412) 749-6787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD05794L Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD057974L Pennsylvania

Profile Details

NPI number 1013938877
LBN Legal business name Antalis, George James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Sep 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013938877 NPPES
Pennsylvania MEDICAID 0017024830001

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