Individual
MR. GENO ANTHONY SANTANGELO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 389-7914
Mailing address
716 PLANTATION DR, HURRICANE, WV 25526-9155
(304) 389-7914
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
00491
WV
Other
Enumeration date
02/09/2014
Last updated
02/09/2014
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