Individual
MR. RONALD J DE SANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
1635 N HOWE ST, STE H, SOUTHPORT, NC 28461
(910) 454-4545
(910) 454-0122
Mailing address
1635 N HOWE ST, STE H, SOUTHPORT, NC 28461
(910) 454-4545
(910) 454-0122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CPED1438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795071
—
NC
Enumeration date
08/09/2007
Last updated
08/09/2007
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