person
John Vito Antonucci, MD
Radiation Oncology Physician in Pontiac, Michigan
NPI 1619181369

John Vito Antonucci is a Radiation Oncology Physician based in Fort Myers, MI and is specialized in Radiation Oncology. John Vito Antonucci practices in Pontiac, MI and has the professional credentials of MD. The NPI Number for John Vito Antonucci is 1619181369 and holds a License No. 4301081739 (Michigan).

The current practice location address for John Vito Antonucci is 70 Fulton St, Pontiac, MI and can be reached out via phone at 248-338-0300 and via fax at 248-338-0663.

Location: 70 Fulton St, Pontiac, MI, 33907-1412
person
Provider Profile Details
NPI Number
1619181369
Provider Name
John Vito Antonucci
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
70 Fulton St, Pontiac, MI, 33907-1412
Phone Number
248-338-0300
Fax Number
248-338-0663
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01013930 01 MI RAILROAD MEDICARE
9209246 01 MI AETNA THRU OAKLAND PHYSICIANS NETWORK SERVICES
200811 01 MI UNITED HEALTHCARE COMMUNITY PLAN
1046261 01 MI HEALTH PLUS OF MICHIGAN THRU OAKLAND PHYSICIANS NETWORK SERVICES (OPNS)
institution
Provider Business Practice Location Address Details
Address
70 Fulton St
City
State
Zip
48341-2755
Phone Number
248-338-0300
Fax Number
248-338-0663
person
Provider Business Mailing Address Details
Address
70 Fulton St
City
State
Zip
48341-2755
Phone Number
248-338-0300
Fax Number
248-338-0663
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
4301081739 (Michigan)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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