Individual
CHARLES C DELLA SANTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-1686
Mailing address
PO BOX 64588, BALTIMORE, MD 21264-4588
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D58629
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461090300
—
MD
Enumeration date
06/18/2006
Last updated
12/21/2012
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