Antonellis, Carmen

Antonellis, Carmen is an individual health care provider with primary practice located at 578 Main St , Malden MA 02148-3900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Antonellis, Carmen can be contacted via phone (781) 321-3422.

Contact Information

Primary practice address
578 Main St Malden MA 02148-3900
Phone: (781) 321-3422
Fax: (781) 321-1863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 181556 Massachusetts

Profile Details

NPI number 1295151058
LBN Legal business name Antonellis, Carmen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2014
Last updated Mar 17th, 2014 - about 10 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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