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Organization

ELISSA J SANTORO MD PA

Active
Other names
Breast Care & Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
ELISSA JEANNE SANTORO MD (PRESIDENT)
(973) 533-0222
Entity
Organization

Contact information

Practice address
200 SOUTH ORANGE AVENUE, SUITE 112, LIVINGSTON, NJ 07039-5817
(973) 533-0222
(973) 535-1121
Mailing address
200 SOUTH ORANGE AVENUE, SUITE 112, LIVINGSTON, NJ 07039-5817
(973) 533-0222
(973) 535-1121

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA02235700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427014182
NPI CMS
01
1528023405
NPI CMS
Enumeration date
11/03/2006
Last updated
03/05/2009
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