Antonowicz, Michelle

Antonowicz, Michelle is an individual health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Antonowicz, Michelle can be contacted via phone (973) 429-6000.

Contact Information

Primary practice address
1 Bay Ave Montclair NJ 07042-4837
Phone: (973) 429-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07150800 New Jersey

Profile Details

NPI number 1780683128
LBN Legal business name Antonowicz, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 18th, 2008 - about 16 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 1780683128 NPPES
New Jersey Other 045292 MEDICARE
New Jersey MEDICAID 8398607 MEDICARE

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