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Contact Information

NEDIL ALDARONDO ANTONINI, MD
2545 W SILVER LAKE RD STE 2
FENTON, MI48430-2662
 Phone: 956-286-3605
 Fax: 810-629-2377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NEDIL ALDARONDO ANTONINI · (Male)

NPI # 1649450172
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2007
Last updated 05/13/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-9369
  • FL License # ME115217
  • MI License # 4301069064
  • TX License # K9972
  • AR Medicaid 210918001
  • FL Medicaid 008482500
  • TX Medicaid 160674101
  • AR Other 5BD34 BLUE CROSS BLUE SHIELD
  • FL Other 14P63 BLUE CROSS/BLUE SHIELD
  • TX Other 8H9860 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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