Individual
DR. ROBERT B SANTULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-7232
(603) 650-9478
Mailing address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-7232
(603) 650-9478
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
8289
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003031
MEDICAID
VT
05
—
30003534
—
NH
Enumeration date
12/04/2006
Last updated
07/08/2007
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