| Doctor Name: | MR. GENO ANTHONY SANTANGELO |
| NPI Number: | 1013331271 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C |
| License Number: | 00491 |
| Business Practice Address: | 4605 Maccorkle Ave Sw South Charleston, WV - 253091311 |
| Business Phone Number: | 3043897914 |
| Business Fax Number: | |
| Mailing Address: | 716 Plantation Dr, HURRICANE |
| State: | WV |
| Postal Code: | 255269155 |
| Phone Number: | 3043897914 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2014 |
| NPI Last Update Date: | 02/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 00491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |