Organization
MARCELINO A DE SANTOS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELINO A DE SANTOS MD (PRESIDENT OWNER)
(215) 891-8322
Entity
Organization
Contact information
Practice address
1205 LANGHORNE-NEWTOWN RD, STE #401 ST MARY MEDICAL OFFICE BUILDING, LANGHORNE, PA 19047
(215) 891-8322
(215) 891-8324
Mailing address
1205 LANGHORNE-NEWTOWN RD, STE #401 ST MARY MEDICAL OFFICE BUILDING, LANGHORNE, PA 19047
(215) 891-8322
(215) 891-8324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD037412L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061837000
IBC
PA
01
—
2258851001
IBC
PA
Enumeration date
07/14/2006
Last updated
08/22/2020
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