Antonioni, Janet L
Antonioni, Janet L is an individual health care provider with primary practice located at 465 Waverley Oaks Rd Suite 100, Waltham MA 02452-8448. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Antonioni, Janet L can be contacted via phone (781) 891-3706.Contact Information
Primary practice address
465 Waverley Oaks Rd Suite 100
Waltham MA 02452-8448
Phone: (781) 891-3706
Fax: (781) 891-3564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 81729 | Massachusetts |
Profile Details
| NPI number | 1477506855 |
|---|---|
| LBN Legal business name | Antonioni, Janet L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jan 21st, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477506855 | NPPES |
| Massachusetts | MEDICAID | 110056436A |
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