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Contact Information

BENJAMIN L ANTONIO, DO
101 MANNING DR
CHAPEL HILL, NC27514-4220
 Phone: 984-974-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for BENJAMIN L ANTONIO · (Male)

NPI # 1508841479
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/13/2005
Last updated 10/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 200300440
  • NC Medicaid 5901916
  • SC Medicaid Q0044G
  • VA Medicaid 10202191
  • WV Medicaid 3810003225
  • Other 7356804 AETNA
  • Other 140P7 BCBS
  • Other 182870 MEDCOST
  • Other 806746 PARTNERS
  • NC Other P00662391 RAILROAD-MEDICARE
Hospital affiliation(s)
  • REX HOSPITAL - (Acute Care)
    4420 LAKE BOONE TRAIL
    RALEIGH, NC 27607
  • UNIVERSITY OF NORTH CAROLINA HOSPITAL - (Acute Care)
    101 MANNING DRIVE
    CHAPEL HILL, NC 27514
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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