D'Antonio, Michael Gerard

D'Antonio, Michael Gerard is an individual health care provider with primary practice located at 1111 Medical Center Blvd Ste. N-108, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. D'Antonio, Michael Gerard can be contacted via phone (504) 349-1461.

Contact Information

Primary practice address
1111 Medical Center Blvd Ste. N-108 Marrero LA 70072-3151
Phone: (504) 349-1461
Fax: (504) 349-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 020573 Louisiana

Profile Details

NPI number 1992754097
LBN Legal business name D'Antonio, Michael Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jan 17th, 2011 - about 14 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 1992754097 NPPES
Mississippi MEDICAID 05054550
Mississippi MEDICAID 1681521

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