Antoniades, John T
Antoniades, John T is an individual health care provider with primary practice located at 3449 Wilkens Ave Ste 300 , Baltimore MD 21229. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Antoniades, John T can be contacted via phone (667) 234-9992.Contact Information
Primary practice address
3449 Wilkens Ave Ste 300
Baltimore MD 21229
Phone: (667) 234-9992
Fax: (667) 234-9997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | D0058226 | Maryland |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | D0058226 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0058226 | Maryland |
Profile Details
| NPI number | 1437187960 |
|---|---|
| LBN Legal business name | Antoniades, John T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | May 2nd, 2019 - about 6 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 | 1437187960 | NPPES |
| Maryland | MEDICAID | 405613200 |
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