Individual
WILMA IVETTE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1970 N BROAD ST, LANSDALE, PA 19446-1002
(215) 368-1900
(215) 368-8772
Mailing address
751 VANDERBURG ROAD, APT 4314, KING OF PRUSSIA, PA 19406-2753
(787) 235-8279
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD461915
PA
Other
Enumeration date
06/11/2007
Last updated
05/31/2019
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