Individual
DR. JEROME SANTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE, MOB EAST 556, WYNNEWOOD, PA 19096-3450
(610) 896-0210
(610) 896-5101
Mailing address
100 E LANCASTER AVE, MOB EAST 556, WYNNEWOOD, PA 19096-3450
(610) 896-0210
(610) 896-5101
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD014339E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060607
—
PA
01
—
100606
BLUE SHIELD
PA
Enumeration date
04/25/2006
Last updated
01/22/2020
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