Organization
DRS CHARLES P AND KAREN F SANICOLA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARELS PETER SANICOLA DPM (PRESIDENT)
(301) 790-2270
Entity
Organization
Contact information
Practice address
372 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 790-2270
(301) 790-2327
Mailing address
372 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 790-2270
(301) 790-2327
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427277508
GROUP NPI
MD
01
—
DN5937
RAILROAD MEDICARE GROUP PTAN
MD
Enumeration date
04/25/2007
Last updated
11/18/2008
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