Organization
LOUIS X SANTORE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS X SANTORE M.D. (OPHTHALMOLOGIST)
(610) 642-4392
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, SUITE 36W, WYNNEWOOD, PA 19096-3450
(610) 642-4392
(610) 642-1948
Mailing address
100 E LANCASTER AVE, SUITE 36W, WYNNEWOOD, PA 19096-3450
(610) 642-4392
(610) 642-1948
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD02689E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084353
HIGHMARK BLUE CROSS/BLUE SHIELD
PA
01
—
3687038000
INDEPENDENCE BLUE CROSS/BLUE SHIELD
PA
01
—
4088621
AETNA
PA
Enumeration date
04/17/2008
Last updated
11/02/2011
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