Individual
ERNEST T SANTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S 11TH ST # 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
PO BOX 8500-2345, PHILADELPHIA, PA 19178-0001
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN191416L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017537610001
—
PA
Enumeration date
11/06/2006
Last updated
04/02/2015
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