Individual provider · Type 1 NPI
Jonathan Antonetti
Plastic and Reconstructive Surgery Physician · Birmingham, AL
NPI number
1124552856
Active
Practice location
500 22nd St S # JNWB103
Birmingham, AL 35233-3110
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Other practice locations
- 817 Princeton Ave SW, Pob II, Suite 106, Birmingham, AL 35211-1333 · (205) 783-3191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 37955 (AL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1124552856
Jonathan Antonetti's National Provider Identifier is 1124552856, issued on Apr 19, 2017. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Birmingham, AL. The record was last updated on Aug 21, 2025.