Individual
MICHAEL SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
67 TRASK AVE FL 2, BAYONNE, NJ 07002-5227
(201) 556-8742
Mailing address
67 TRASK AVE FL 2, BAYONNE, NJ 07002-5227
(201) 556-8742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
808639
NY
163WG0000X
General Practice Registered Nurse
Primary
808639
NY
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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