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Individual

DR. JANICE DESANTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8091 TOWNSHIP LINE RD, ST. VINCENT WOMEN'S HOSPITAL, SUITE 207 MOB, INDIANAPOLIS, IN 46260-2494
(317) 415-7921
(317) 415-7922
Mailing address
8091 TOWNSHIP LINE RD, ST. VINCENT WOMEN'S HOSPITAL, SUITE 207 MOB, INDIANAPOLIS, IN 46260-2494
(317) 415-7921
(317) 415-7922

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35065491
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0940521
OH
Enumeration date
11/15/2005
Last updated
07/08/2007
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