Individual
JEFFREY S SANTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 OXFORD DR STE 211, BETHEL PARK, PA 15102-1898
(412) 283-0260
(412) 283-0070
Mailing address
2000 OXFORD DR STE 211, BETHEL PARK, PA 15102-1898
(412) 283-0260
(412) 283-0070
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA002215L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA002215L
MEDICAL LICENSE
PA
Enumeration date
06/21/2006
Last updated
08/21/2020
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