Individual
DR. JOSEPH G. DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2170
(570) 271-6363
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD035244E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001449680
—
PA
Enumeration date
02/27/2006
Last updated
08/05/2020
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