Individual
RAMIRO WLADIMIR LIZANO SANTAMARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 426-7916
(215) 590-1340
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 426-7916
(215) 590-1340
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
0101263354
VA
2080P0202X
Pediatric Cardiology Physician
Primary
MD455555
PA
Other
Enumeration date
07/20/2012
Last updated
10/11/2021
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