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NPI Code Detail

MEDICARE: FERDINAND G SANTOS PT

MEDICARE: FERDINAND G SANTOS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist40QA01315700NJ

General Provider Information

NPI Number : 1568462752
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERDINAND G SANTOS PT
Provider Business Mailing Address
First Line : 50 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-4560
Country : US
Telephone Number : 908-755-2128
Fax Number : 908-755-0614
Provider Business Practice Location Address
First Line : 50 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-4560
Country : US
Telephone Number : 908-755-2128
Fax Number : 908-755-0614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 05/10/2012

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Directions to “ FERDINAND G SANTOS PT” Practice Location

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