MARK D ANTENUCCI DPM

Dr MARK D ANTENUCCI DPM is a male medical professional, specializing in Podiatry. He graduated in 1984.

Contact

313 W COUNTRY CLUB RD
SUITE 7
ROSWELL
NM
882015804

Tel:

MARK D ANTENUCCI DPM Information

Npi 1760490759
Pac Id 0446254346
Professional Enrollment Id I20061010000738
Last Name ANTENUCCI
First Name MARK
Middle Name D
Suffix
Gender M
Credential DPM
Medical School Name OTHER
Graduation Year 1984
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 313 W COUNTRY CLUB RD
Line 2 Street Address SUITE 7
Marker Of Address Line 2 Suppression
City ROSWELL
State NM
Zip Code 882015804
Phone Number
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
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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