Provider Demographics
NPI:1912741844
Name:D'ANTONIO, ANTHONY RICHARD (PA-C)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:RICHARD
Last Name:D'ANTONIO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:575 COAL VALLEY ROAD
Mailing Address - Street 2:SUITE 504
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3729
Mailing Address - Country:US
Mailing Address - Phone:412-469-7900
Mailing Address - Fax:412-469-7919
Practice Address - Street 1:575 COAL VALLEY ROAD
Practice Address - Street 2:SUITE 504
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3729
Practice Address - Country:US
Practice Address - Phone:412-469-7900
Practice Address - Fax:412-469-7919
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0009631363A00000X
PAMA066862363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant