Organization Name: | ANTHONY SANTORO MD PA |
NPI Number: | 1003065392 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY FRANCIS SANTORO (PRESIDENT) |
Mailing Address: | 216 Amboy Ave Metuchen |
State: | NJ US |
Postal Code: | 088402440 |
Phone Number: | 7324941353 |
Fax Number: | 7329066405 |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 25MA021478 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |