Doctor Name: | DR. VICTORIA CHRISTINA DESANTOS |
NPI Number: | 1891061065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 520 Pleasant Valley Way West Orange, NJ - 070522802 |
Business Phone Number: | 9736695711 |
Business Fax Number: | 9736695722 |
Mailing Address: | 227 Laurel Rd, 300 VOORHEES |
State: | NJ |
Postal Code: | 080438303 |
Phone Number: | 8566696025 |
Fax Number: | 8566510794 |
NPI Enumeration Date: | 04/01/2012 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |