Individual provider · NPI-1

Claire Joan Antoszewski, PA

Physician Assistant · Santa Fe, NM

NPI number1851572655
StatusActive
Last updated in NPPESJan 11, 2011

Details

NPI
1851572655
Entity type
Individual (NPI-1)
Name
Claire Joan Antoszewski
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Nov 20, 2007
Last updated
Jan 11, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA2010-0040NMYes
363A00000X Physician Assistant012262-1NY

Practice location

453 1/2 Amado St
Santa Fe, NM 87501-3700

Phone 203-249-3002

Mailing address

453 1/2 Amado St
Santa Fe, NM 87501-3700

Phone 203-249-3002

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