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Individual
MR. RICHARD SANTOSTEFANO SR.
Active
Individual
MR. RICHARD SANTOSTEFANO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13
WV
363AM0700X
Medical Physician Assistant
723
WV
Other
Enumeration date
09/03/2008
Last updated
01/12/2022
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