Individual
SANTO M BORGANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
415 SOUTH 28TH AVENUE, HATTIESBURG, MS 39401
(601) 268-5800
(601) 261-3530
Mailing address
415 SOUTH 28TH AVENUE, HATTIESBURG, MS 39401
(601) 268-5800
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
20405
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009304150
—
AL
05
—
09933313
—
MS
05
—
3721922 00
—
FL
Enumeration date
07/26/2005
Last updated
08/11/2020
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