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NPI Code Detail

MEDICARE: MS. ANTONIA FLINT MSW

MEDICARE: MS. ANTONIA FLINT MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC00594400NJ

General Provider Information

NPI Number : 1700900453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANTONIA FLINT MSW
Provider Business Mailing Address
First Line : 203 SALEM CT APT 8
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-7041
Country : US
Telephone Number : 609-356-0029
Fax Number : 609-356-0031
Provider Business Practice Location Address
First Line : 22 STOCKTON ST
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-6813
Country : US
Telephone Number : 609-924-0060
Fax Number : 609-924-7436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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