Doctor Name: | JOHN GUY SANTILLI |
NPI Number: | 1063567899 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | BS7279537 |
Business Practice Address: | 300 Longwood Ave Department Of Radiology Boston, MA - 021155724 |
Business Phone Number: | 6173556936 |
Business Fax Number: | 6177300541 |
Mailing Address: | 300 Longwood Ave, Department Of Radiology BOSTON |
State: | MA |
Postal Code: | 021155724 |
Phone Number: | 6173556936 |
Fax Number: | 6177300541 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | BS7279537 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |