Jose R Antillon in Newark - Pediatric Cardiology
Jose R Antillon - NPI 1114134715
Jose R Antillon is a Pediatric Cardiology in Newark, New Jersey. Jose R Antillon practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Jose R Antillon is 1114134715. The last update date is 2009-08-14.
Jose R Antillon's current location address is 90 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739725779 and fax number 9739725895. The mailing address for Jose R Antillon is 90 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose R Antillon |
|---|---|
| Address | 90 Bergen St, Newark, New Jersey |
| Phone Number | 9739725779 |
| Fax Number | 9739725895 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114134715 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2009-08-14 |
Provider Mailing Address Detail
| Address | 90 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71032425 |
| Phone Number | 9739725779 |
| Fax Number | 9739725895 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Cardiology |
|---|---|
| Taxonomy | 2080P0202X |
| Licence No | 25MA02220500 |
|
Definition: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1595504 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jose R Antillon by the Centers for Medicare & Medicaid Services (CMS)?
The Jose R Antillon has been assigned the NPI (National Provider Identifier) 1114134715. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jose R Antillon's facilities are situated?
The facilities of Jose R Antillon are physically located at the following address: 90 Bergen St, Newark, NJ, 71032425.
What is the Jose R Antillon's area of specialization and corresponding taxonomy classification?
The Jose R Antillon's specialty field is Pediatric Cardiology, and it falls under the taxonomy code 2080P0202X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1114134715 to Jose R Antillon?
The Jose R Antillon received its 1114134715 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the details related to Jose R Antillon most recently updated or revised?
The information pertaining to Jose R Antillon, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-14.