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Individual

DR. JOSE W SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2375 GARDEN WAY, HERMITAGE, PA 16148-5209
(724) 983-5454
(724) 983-5914
Mailing address
2375 GARDEN WAY, HERMITAGE, PA 16148-5209
(724) 983-5454
(724) 983-5914

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD039528 E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000115000
ONE NATION BENEFIT ADMIN
05
001109991
PA
01
0011099910001
DPW
PA
01
0489834
AETNA
PA
01
058022
VALUE OPTIONS
VA
01
0789384
DPW
OH
01
157858000
MAGELLAN BEHAVIORAL
01
201548
UPMC POS HMO
01
251638612
DPW
MI
01
251638612
MEDICAL MUT PPO
01
25163861200
CIGNA
MI
01
552127
BCBS PA PPO POS HMO TRAD
PA
01
552127
KHPW HMO
01
E52896
HEALTH AMERICA
PA
Enumeration date
12/22/2006
Last updated
12/09/2011
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