Individual
GINO DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2701 DEKALB PIKE, NORRISTOWN, PA 19401-1820
(610) 278-2000
Mailing address
12 GILL ST, STE 3000, WOBURN, MA 01801-1728
(781) 937-4522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052388
PA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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