Individual
DR. NELSON R. SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NEMOURS PEDIATRICS ST. FRANCIS, 7TH & CLAYTON STREET SUITE 400, WILMINGTON, DE 19805-3165
(302) 421-9700
(302) 421-9743
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
C10005644
DE
208000000X
Pediatrics Physician
C10005644
DE
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
C10005644
DE
208D00000X
General Practice Physician
Primary
C10005644
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001756573
—
PA
05
—
02182432
—
NY
05
—
3939022
—
MD
05
—
7969201
—
NJ
05
—
910139000
—
FL
Enumeration date
09/28/2006
Last updated
09/10/2011
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