Organization
PARK ROW PODIATRY INC.
Active
Other names
Nicholas N. DeSantis DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS NELSON DESANTIS DPM (CEO/OWNER)
(619) 239-3286
Entity
Organization
Contact information
Practice address
2306 6TH AVE, SAN DIEGO, CA 92101-1643
(619) 239-3286
(619) 239-0172
Mailing address
2306 6TH AVE, SAN DIEGO, CA 92101-1643
(619) 239-3286
(619) 239-0172
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2474
CA
Other
Enumeration date
07/28/2010
Last updated
11/18/2010
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