MEDICARE: CHRISTINA SANTASPIRT

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	1041C0700X	Clinical Social Worker	44SC05520400	NJ

General Provider Information

NPI Number	:	1891144408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA SANTASPIRT

Provider Business Mailing Address
First Line	:	15 LAUREL DR
Second Line	:
City	:	LONG VALLEY
State	:	NJ
Zip	:	07853-3516
Country	:	US
Telephone Number	:	609-504-4052
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 LAUREL DR
Second Line	:
City	:	LONG VALLEY
State	:	NJ
Zip	:	07853-3516
Country	:	US
Telephone Number	:	609-504-4052
Fax Number	:

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

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	06/06/2016

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Directions to “ CHRISTINA SANTASPIRT ” Practice Location

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