Individual
JESUS G SANTIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 8TH STREET, POCOMOKE, MD 21851-1129
(410) 957-1310
(410) 957-3904
Mailing address
100 8TH STREET, POCOMOKE, MD 21851-1129
(410) 957-1310
(410) 957-3904
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0002556
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043611900
—
MD
Enumeration date
08/18/2006
Last updated
07/06/2010
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