Individual provider · Type 1 NPI

Michael Vaughan Antoniacci

Physician Assistant · Scranton, PA

NPI number 1639050313 Active

Practice location

5 Morgan Hwy
Scranton, PA 18508-2641

Call (570) 344-3788 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA066899 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639050313

Michael Vaughan Antoniacci's National Provider Identifier is 1639050313, issued on Sep 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Scranton, PA. The record was last updated on Sep 10, 2025.