Individual
JOSEPHINE M SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
310 WOODSTOWN RD., SALEM, NJ 08079
(856) 935-1000
Mailing address
68 S. SERVICE RD., STE 350, MELVILLE, NY 11747-2358
(516) 945-3347
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR09422300
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00202600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079224
AANA ID#
—
01
—
P00678802
RAILROAD MEDICARE PTAN
NJ
Enumeration date
05/23/2008
Last updated
04/17/2015
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