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Contact Information

JOHN T ANTONIADES, MD
3449 WILKENS AVE STE 300
BALTIMORE, MD21229
 Phone: 667-234-9992
 Fax: 667-234-9997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN T ANTONIADES · (Male)

NPI # 1437187960
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 05/02/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0058226
  • MD Medicaid 405613200
Hospital affiliation(s)
  • SAINT AGNES HOSPITAL - (Acute Care)
    900 CATON AVENUE
    BALTIMORE, MD 21229
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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