Individual provider · NPI-1

Dr. Paul T. Antony, MD, MPH, MBA

Preventive Medicine, Aerospace Medicine · San Diego, CA

NPI number1164425880
StatusActive
Last updated in NPPESSep 20, 2019

Details

NPI
1164425880
Entity type
Individual (NPI-1)
Name
Dr. Paul T. Antony
Credential
MD, MPH, MBA
Sex
Male
Sole proprietor
No
Enumeration date
May 27, 2005
Last updated
Sep 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083A0100X Preventive Medicine, Aerospace Medicine01048172AINYes
2083S0010X Preventive Medicine, Sports Medicine01048172AIN
208D00000X General Practice01048172AIN
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine01048172AIN
208U00000X Clinical Pharmacology01048172AIN

Practice location

524 Quentin Roosevelt Blvd
San Diego, CA 92135

Phone 202-713-5440

Mailing address

7309 Pine Needle Rd
Sarasota, FL 34242-2624

Phone 202-713-5440

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