IndividualActive
Stephanie Moody Antonio, MD
NPI 1366418956 · Otology & Neurotology Physician · Norfolk, VA
Provider details
- NPI number
- 1366418956
- Entity type
- Individual
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101237385 (VA)
Practice location
600 Gresham Dr
Suite 1100
Norfolk, VA 23507-1904
Phone: (757) 388-6200
Fax: (757) 388-6201
Mailing address
Po Box 936
Norfolk, VA 23501-0936
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2009-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.