Individual
ROMAN NICOLAS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
69 MAIN ST, LAKEVILLE, MA 02347-3628
(508) 947-4400
(508) 946-1610
Mailing address
69 MAIN ST, LAKEVILLE, MA 02347-3628
(508) 947-4400
(508) 946-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53465
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3008657
—
MA
Enumeration date
08/29/2006
Last updated
06/22/2009
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