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Organization

RICHARD J. SANTANGELO, D.C., P.C.

Active
Other names
Family Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD JAMES SANTANGELO D.C. (OWNER/PRESIDENT)
(410) 663-8610
Entity
Organization

Contact information

Practice address
4303 FITCH AVE, BALTIMORE, MD 21236-3717
(410) 663-8610
(410) 663-8613
Mailing address
4303 FITCH AVE, BALTIMORE, MD 21236-3717
(410) 663-8610
(410) 663-8613

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01411
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40068401
CARE FIRST RENDERING NO.
MD
01
W371 0001
DC PLAN PROVIDER NUMBER
MD
Enumeration date
08/14/2007
Last updated
01/23/2008
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