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Individual

DR. MICHAEL EDWARD SANTULLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1405 ROLKIN CT STE 201, CHARLOTTESVILLE, VA 22911-3586
(434) 295-5155
(434) 295-4612
Mailing address
1405 ROLKIN CT STE 201, CHARLOTTESVILLE, VA 22911-3586
(434) 295-5155
(434) 295-4612

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101046691
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006063306
VA
01
070176
ANTHEM
VA
Enumeration date
10/17/2006
Last updated
11/14/2023
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