Individual
DR. SAMUEL C SANTORIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6660 BELAIR RD, BALTIMORE, MD 21206-1844
(410) 444-2000
(410) 254-9554
Mailing address
9601 PULASKI PARK DR, SUITE 416, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
(410) 933-1823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01739
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1539374
CAQH
MD
01
—
535829
CAREFIRST
MD
Enumeration date
02/07/2006
Last updated
06/16/2015
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