Individual
MARCELINO A DE SANTOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1205 LANGHORNE NEWTOWN RD, SUITE 401 ST MARY MEDICAL OFFICE BLDG, LANGHORNE, PA 19047
(215) 891-8322
(215) 891-8324
Mailing address
1205 LANGHORNE NEWTOWN RD, SUITE 401 ST MARY MEDICAL OFFICE BLDG, LANGHORNE, PA 19047
(215) 891-8322
(215) 891-8324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD037412L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061837000
IBC
PA
01
—
2258851001
IBC
PA
Enumeration date
05/03/2006
Last updated
07/08/2007
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