Individual
CORINNE DESANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E LANCASTER AVENUE, SUITE 275 MED SCI BLDG, WYNNEWOOD, PA 19096-3450
(484) 476-8390
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059019
PA
Other
Enumeration date
06/18/2017
Last updated
03/10/2025
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