Whalio Doctors

NPI 1477646800

Demetri Antoniou, MDDMD

Practitioner Otolaryngology Physician Portland, ME

Practice location

Address
15 Sewall St, Portland, ME 04102-2641
Phone
(207) 774-1775
Fax
(207) 774-3126

Registered specialties

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 012240 (ME)

Registry record

NPI
1477646800
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.