Healthcare Provider Details

I. General information

NPI: 1285727743
Provider Name (Legal Business Name): RADCLIFFE ANTHONY ANTOINE PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7361 CALHOUN PL STE 200
ROCKVILLE MD
20855-2779
US

IV. Provider business mailing address

7361 CALHOUN PL STE 200
ROCKVILLE MD
20855-2779
US

V. Phone/Fax

Practice location:
  • Phone: 301-232-5675
  • Fax: 800-691-1788
Mailing address:
  • Phone: 301-232-5675
  • Fax: 800-691-1788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: