Individual provider · Type 1 NPI
Brian F. Antonucci, PA-C
Surgical Physician Assistant · Baltimore, MD
NPI number
1700167616
Active
Practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Fax (410) 955-0833
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice locations
- 525 E 68th St, New York, NY 10065-4870 · (212) 746-5454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 015066 (NY) |
| Surgical Physician Assistant Primary | 363AS0400X | C06717 (MD) |
Surgical Physician Assistant: Definition to come...
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About NPI 1700167616
Brian F. Antonucci, PA-C's National Provider Identifier is 1700167616, issued on Sep 6, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baltimore, MD. The record was last updated on Aug 8, 2024.