Richard J Antaya in New Haven - Dermatology

Richard J Antaya - NPI 1336130715

Richard J Antaya is a Dermatology in New Haven, Connecticut. Richard J Antaya practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Richard J Antaya is 1336130715. The last update date is 2007-07-08.

Richard J Antaya's current location address is Po Box 9805, New Haven, Connecticut. You can contact this provider via phone number 2037857998 and fax number 2037856414. The mailing address for Richard J Antaya is Po Box 9805, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard J Antaya
Address Po Box 9805, New Haven, Connecticut
Phone Number 2037857998
Fax Number 2037856414
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1336130715
Provider Enumeration Date 2005-11-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 9805
City New Haven
State Connecticut (CT)
Post Code 65360805
Phone Number 2037857998
Fax Number 2037856414

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 36949
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1369497 CT --

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FAQs about Richard J Antaya

What is the unique identifier code issued to Richard J Antaya by the Centers for Medicare & Medicaid Services (CMS)?

The Richard J Antaya has been assigned the NPI (National Provider Identifier) 1336130715. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Richard J Antaya?

The Richard J Antaya is physically situated at Po Box 9805, in the city of New Haven, state of CT, with the postal code 65360805.

What is Richard J Antaya's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard J Antaya is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.

On what date was the 1336130715 assigned to Richard J Antaya?

The Richard J Antaya was issued its 1336130715 on 2005-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Richard J Antaya's information last updated?

The Richard J Antaya's information was last updated on 2007-07-08.

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