DR. DALE STANLEY ANTANITUS


Address: 1196 North Rd, Carlisle, MA 01741-1237
Phone: 9783187935

DR. DALE STANLEY ANTANITUS (NPI# 1124158910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124158910
Entity Type Individual
Full Name DR. DALE STANLEY ANTANITUS
Credential M.D.
Practice Address 1196 North Rd
Carlisle
MA 01741-1237
Practice Telephone 9783187935
Practice Fax Number 9783187935
Mailing Telephone 9783187935
Mailing Fax Number 9783187935
Enumeration Date 2007-03-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 44658 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 1196 NORTH RD
City CARLISLE
State MA
Zip Code 01741-1237

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City CARLISLE
Zip Code 01741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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