Individual
DR. PHILIP T SANTIAGO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
75 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-2601
(973) 335-5666
(973) 335-6187
Mailing address
47 HILLCREST RD, BOONTON, NJ 07005-9442
(973) 334-3288
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00181500
NJ
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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