D'Antonio, Richard G

D'Antonio, Richard G is an sole proprietor health care provider with primary practice located at 12 Brecon Pl Ste. 410, Cockeysville MD 21030-2343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. D'Antonio, Richard G can be contacted via phone (410) 825-3416.

Contact Information

Primary practice address
12 Brecon Pl Ste. 410 Cockeysville MD 21030-2343
Phone: (410) 825-3416
Fax: (410) 296-1796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D32929 Maryland

Profile Details

NPI number 1033147574
LBN Legal business name D'Antonio, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jan 10th, 2014 - about 12 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 1033147574 NPPES
Maryland MEDICAID 550891600

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