Provider Demographics
NPI:1386899235
Name:ANTONY, ARUN RAJ (MD)
Entity type:Individual
Prefix:
First Name:ARUN
Middle Name:RAJ
Last Name:ANTONY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1907 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8877
Mailing Address - Country:US
Mailing Address - Phone:402-332-7066
Mailing Address - Fax:
Practice Address - Street 1:19 DAVIS AVE FL 4
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4488
Practice Address - Country:US
Practice Address - Phone:732-974-0003
Practice Address - Fax:732-974-0366
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE54742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology