Active NPIIndividual provider

Dr. Joseph Antaki, MD

Internal Medicine in Worcester, Massachusetts

NPI Number1720040645
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
508-334-8105
Last updated
December 4, 2020

Joseph Antaki is an Internal Medicine based in Worcester, MA. Joseph Antaki practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Joseph Antaki is 1720040645 and holds a License No. 60187 (MA). The current practice location address for Joseph Antaki is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-8017 and via fax at 508-334-8105.

Provider Profile Details

NPI Number
1720040645
Provider Name
Joseph Antaki
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-334-8017
Fax Number
508-334-8105
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2006
Last Update Date
December 4, 2020
Certification Date
December 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-8017
Fax Number
508-334-8105
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number
60187
License State
MA
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Joseph Antaki, MD?

The NPI number of Dr. Joseph Antaki, MD is 1720040645. It was assigned on April 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph Antaki, MD?

Dr. Joseph Antaki, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 60187.

Where does Dr. Joseph Antaki, MD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-8017 (phone) or 508-334-8105 (fax).

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 1720040645 directly on the NPPES registry website.

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