Demetri Antoniou in Portland - Otolaryngology

Demetri Antoniou - NPI 1477646800

Demetri Antoniou is a Otolaryngology in Portland, Maine. Demetri Antoniou practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Demetri Antoniou is 1477646800. The last update date is 2007-07-08.

Demetri Antoniou's current location address is 15 Sewall St, Portland, Maine. You can contact this provider via phone number 2077741775 and fax number 2077743126. The mailing address for Demetri Antoniou is 15 Sewall St, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Demetri Antoniou
Address 15 Sewall St, Portland, Maine
Phone Number 2077741775
Fax Number 2077743126
Sole Proprietor Y
Credentials M.D.,D.M.D

NPI Number Detail

NPI Number 1477646800
Provider Enumeration Date 2006-09-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15 Sewall St
City Portland
State Maine (ME)
Post Code 41022641
Phone Number 2077741775
Fax Number 2077743126

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 12240
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
118090000 ME --
48010 ME ANTHEM

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FAQs about Demetri Antoniou

What is the unique 10-digit identification code assigned to Demetri Antoniou by the Centers for Medicare & Medicaid Services?

The Demetri Antoniou has been issued the NPI (National Provider Identifier) 1477646800, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Demetri Antoniou?

The Demetri Antoniou is situated at 15 Sewall St, in the city of Portland, state of ME, with the zip code 41022641.

What is the area of specialization for Demetri Antoniou, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Demetri Antoniou is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.

When was the Demetri Antoniou's 1477646800 issued?

The Demetri Antoniou's 1477646800 was issued on 2006-09-30.

As of what date was the information regarding Demetri Antoniou, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Demetri Antoniou, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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