Individual
LUIGI DE SANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 SERPENTINE LN, LEVITTOWN, PA 19055-2213
(215) 946-4410
(215) 946-5846
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
(215) 946-4410
(215) 946-5846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD034446E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016091100003
—
PA
01
—
0022024000
KEYSTONE IBC
PA
01
—
056410
HIGHMARK BLUE SHIELD
PA
01
—
30072737
KEYSTONE MERCY
PA
01
—
45642MD034446E
HEALTH PARTNERS
PA
01
—
464063
AETNA HMO
PA
01
—
P00851209
RAILROAD MEDICARE
PA
Enumeration date
06/23/2005
Last updated
07/06/2011
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