Active NPIIndividual providerSole proprietor

Nina K Antonov, MD

Dermatology in Westport, Connecticut

NPI Number1467847582
Practice location
1032 Post RD E, Westport, CT 06880-5369
Fax
—
Last updated
January 16, 2022

Nina Katherine Antonov is a Dermatology based in Westport, CT. Nina Katherine Antonov practices in Westport, CT and has the professional credentials of MD. The NPI Number for Nina Katherine Antonov is 1467847582 and holds a License No. 67336 (CT). The current practice location address for Nina Katherine Antonov is 1032 Post RD E, Westport, CT 06880-5369 and can be reached out via phone at 203-635-0770.

Provider Profile Details

NPI Number
1467847582
Provider Name
Nina Katherine Antonov
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1032 Post RD E, Westport, CT 06880-5369
Phone Number
203-635-0770
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 6, 2015
Last Update Date
January 16, 2022
Certification Date
January 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1032 Post RD E
Westport, CT 06880-5369
Zip
06880-5369
Phone Number
203-635-0770
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
1032 Post RD E
Westport, CT 06880-5369
City
Westport
State
CT
Zip
06880-5369

License Information

License Number
67336
License State
CT
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nina K Antonov, MD?

The NPI number of Nina K Antonov, MD is 1467847582. It was assigned on April 6, 2015 and is currently active in the NPPES registry.

What is the specialty of Nina K Antonov, MD?

Nina K Antonov, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 67336.

Where does Nina K Antonov, MD practice?

The practice location is 1032 Post RD E, Westport, CT 06880-5369. The office can be reached at 203-635-0770 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467847582 directly on the NPPES registry website.

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