John Vito Antonucci in Pontiac - Radiation Oncology

John Vito Antonucci - NPI 1619181369

John Vito Antonucci is a Radiation Oncology in Pontiac, Michigan. John Vito Antonucci practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for John Vito Antonucci is 1619181369. The last update date is 2012-10-29.

John Vito Antonucci's current location address is 70 Fulton St, Pontiac, Michigan. You can contact this provider via phone number 2483380300 and fax number 2483380663. The mailing address for John Vito Antonucci is 70 Fulton St, Pontiac, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John Vito Antonucci
Address 70 Fulton St, Pontiac, Michigan
Phone Number 2483380300
Fax Number 2483380663
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1619181369
Provider Enumeration Date 2007-05-10
Last Updated Date 2012-10-29

Provider Mailing Address Detail

Address 70 Fulton St
City Pontiac
State Michigan (MI)
Post Code 483412755
Phone Number 2483380300
Fax Number 2483380663

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No 4301081739
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01013930 MI RAILROAD MEDICARE
9209246 MI AETNA THRU OAKLAND PHYSICIANS
200811 MI UNITED HEALTHCARE COMMUNITY PL
1046261 MI HEALTH PLUS OF MICHIGAN THRU O

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FAQs about John Vito Antonucci

What is the unique 10-digit identification code issued to John Vito Antonucci by the Centers for Medicare & Medicaid Services?

The John Vito Antonucci has been assigned the NPI (National Provider Identifier) 1619181369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where John Vito Antonucci's facilities are situated?

The facilities of John Vito Antonucci are physically located at the following address: 70 Fulton St, Pontiac, MI, 483412755.

What is John Vito Antonucci's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Vito Antonucci's area of specialization is Radiation Oncology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619181369 to John Vito Antonucci?

The Centers for Medicare & Medicaid Services originally issued the 1619181369 to John Vito Antonucci on 2007-05-10.

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

The information related to John Vito Antonucci, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-29.

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