John T Antoniades
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
3449 Wilkens Ave Ste 300
Baltimore
, Maryland 21229
John T Antoniades
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
3449 Wilkens Ave Ste 300
Baltimore
, Maryland 21229
(667) 234-9997
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- John T Antoniades
- 3449 Wilkens Ave Ste 300
- Baltimore, MD
- Zip : 21229-5218
- Fax : (667) 234-9997
- Phone : (667) 234-9992
Second Address
- John T Antoniades
- 3449 Wilkens Ave Ste 300
- Baltimore, MD
- Zip : 21229
- Fax : (667) 234-9997
- Phone : (667) 234-9992
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | D0058226 | MD |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0058226 | MD |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0058226 | MD |
National Provider Identifier
| NPI | 1437187960 |
|---|---|
| Provider Name | John T Antoniades |
| First Address | Baltimore, MD 21229-5218 |
| Second Address | Baltimore, MD 21229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 02/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 405613200 | (05) | MD |
| I11021 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.