| Doctor Name: | MIGUEL SANTAULARIA TOMAS |
| NPI Number: | 1922259308 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4008395 |
| Business Practice Address: | 720 Rutland Ave Johns Hopkins University Ross Building, Room 1044 Baltimore, MD - 212052109 |
| Business Phone Number: | 4105022505 |
| Business Fax Number: | 4105022529 |
| Mailing Address: | 3900 N Charles St, Apartment 306 BALTIMORE |
| State: | MD |
| Postal Code: | 212181756 |
| Phone Number: | 4439380928 |
| Fax Number: | 4105023539 |
| NPI Enumeration Date: | 10/03/2008 |
| NPI Last Update Date: | 10/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4008395 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ZZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |