EDSEL ANTONIO

REJUV AESTHETIC GYNECOLOGY PA

Dr EDSEL ANTONIO is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 2011 from New York College Of Osteo Medicine Of New York Institute Of Technology.

Contact

REJUV AESTHETIC GYNECOLOGY PA

285 DURHAM AVE
SUITE 1A
SOUTH PLAINFIELD
NJ
070802555

Tel: 73233802284

EDSEL ANTONIO Information

Npi 1265790752
Pac Id 5092022418
Professional Enrollment Id I20150917002052
Last Name ANTONIO
First Name EDSEL
Middle Name
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Gender M
Credential
Medical School Name NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year 2011
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name REJUV AESTHETIC GYNECOLOGY PA
Group Practice Pac Id 4789946039
Number Of Group Practice Members 2
Line 1 Street Address 285 DURHAM AVE
Line 2 Street Address SUITE 1A
Marker Of Address Line 2 Suppression
City SOUTH PLAINFIELD
State NJ
Zip Code 070802555
Phone Number 73233802284
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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