MR. Angelito Antonio, NP-C

NPI #1972743698 in Wayne, New Jersey

Provider Information

NPI Number: 1972743698
Entity Type: Individual
Name: MR. Angelito Antonio, NP-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse Practitioner - Primary Care
Credential: NP-C
Enumeration Date: Feb 21, 2009
Last Updated: Jun 20, 2018

Practice Location

Address: 930 VALLEY RD
City: Wayne
State: New Jersey
ZIP Code: 07470
Phone: (973) 696-3868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Nurse Specialist - Adult Health — Adult Health	364SA2200X
Clinical Nurse Specialist - Gerontology — Gerontology	364SG0600X
Nurse Practitioner - Primary Care — Primary Care	363LP2300X	Primary

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