Individual
WILLIAM EDWARD SANTAULARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
097225
MO
367500000X
Certified Registered Nurse Anesthetist
2020012173
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2281199
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913457305
—
MO
Enumeration date
04/28/2006
Last updated
04/03/2024
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