MEDICARE: DR. AMY CHEN SANTANGELO MD

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
1	207R00000X	Internal Medicine Physician	009901144	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841254711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY CHEN SANTANGELO MD

Provider Business Mailing Address
First Line	:	2817 REILLY RD
Second Line	:	WOMACK ARMY MEDICAL CENTER MEXC-COD CREDENTIALS
City	:	FORT BRAGG
State	:	NC
Zip	:	28310
Country	:	US
Telephone Number	:	910-907-7827
Fax Number	:	910-396-7559

Provider Business Practice Location Address
First Line	:	2817 REILLY ST
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-7301
Country	:	US
Telephone Number	:	910-907-7827
Fax Number	:	910-396-7559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	02/23/2022

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