Antos, Mark
Antos, Mark is an individual health care provider with primary practice located at 1501 Middleford Rd , Seaford DE 19973-3615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Antos, Mark can be contacted via phone (302) 629-4255.Contact Information
Primary practice address
1501 Middleford Rd
Seaford DE 19973-3615
Phone: (302) 629-4255
Fax: (302) 629-5777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | C10003337 | Delaware |
Profile Details
| NPI number | 1942269030 |
|---|---|
| LBN Legal business name | Antos, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1942269030 | NPPES |
| Delaware | MEDICAID | 0000102501 |
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