Individual
DR. JOHN RICHARD SANTILLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1820
Mailing address
1 JOHN JAMES AUDUBON PKWY, BUFFALO, NY 14228-1143
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
257053
NY
207P00000X
Emergency Medicine Physician
L1642312
MI
Other
Enumeration date
01/28/2008
Last updated
10/28/2022
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