Individual
MS. GINA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2649 SCHOENERSVILLE RD STE 202, BETHLEHEM, PA 18017-7316
(484) 884-1007
(570) 656-4111
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-0551
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055285
PA
363AM0700X
Medical Physician Assistant
Primary
MA055285
PA
363AS0400X
Surgical Physician Assistant
014360
NY
Other
Enumeration date
09/21/2010
Last updated
03/04/2022
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