Antinori, Charles H

Antinori, Charles H is an individual health care provider with primary practice located at 1102 E Chestnut Ave , Vineland NJ 08360-5002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Antinori, Charles H can be contacted via phone (856) 213-6375.

Contact Information

Primary practice address
1102 E Chestnut Ave Vineland NJ 08360-5002
Phone: (856) 213-6375
Fax: (856) 575-4986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA03721000 New Jersey

Profile Details

NPI number 1831187780
LBN Legal business name Antinori, Charles H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Sep 10th, 2012 - about 12 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 1831187780 NPPES
New Jersey Other P00104418 RAILROAD MEDICARE
New Jersey MEDICAID 2041502 RAILROAD MEDICARE

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