Individual provider · Type 1 NPI

Russel Vincent Antico, D.C

Chiropractor · Columbia, MD

NPI number 1619048576 Active

Practice location

7060 Oakland Mills Rd, Suite I
Columbia, MD 21046-1694

Call (443) 259-0235 Map

Fax (443) 259-0236

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XS01939 (MD)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4 other providers at this address

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About NPI 1619048576

Russel Vincent Antico, D.C's National Provider Identifier is 1619048576, issued on Nov 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Columbia, MD. The record was last updated on Jul 8, 2007.