Jose R Antillon
Pediatric Cardiologist
90 Bergen St Doc 5100
Newark
, New Jersey 07103-2425
Jose R Antillon
Pediatric Cardiologist
90 Bergen St Doc 5100
Newark
, New Jersey 07103-2425
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Jose R Antillon
- 30 Bergen St Admc 12 1205
- Newark, NJ
- Zip : 07107-3000
- Phone :
Second Address
- Jose R Antillon
- 90 Bergen St Doc 5100
- Newark, NJ
- Zip : 07103-2425
- Fax : (973) 972-5895
- Phone : (973) 972-5779
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FAQs
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What type of doctor is Jose R Antillon
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Is Jose R Antillon a sole practitioner?
Is Jose R Antillon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 25MA02220500 | NJ |
National Provider Identifier
| NPI | 1114134715 |
|---|---|
| Provider Name | Jose R Antillon |
| First Address | Newark, NJ 07107-3000 |
| Second Address | Newark, NJ 07103-2425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 14/08/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1595504 | (05) | NJ |
| C61191 | (02) | NJ |
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.