Healthcare Provider Details

I. General information

NPI: 1306250113
Provider Name (Legal Business Name): APPLE OCCUPATIONAL MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 06/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 RIVERSIDE PKWY SUITE A-2
BELCAMP MD
21017-1388
US

IV. Provider business mailing address

PO BOX 14397
POLAND OH
44514-7397
US

V. Phone/Fax

Practice location:
  • Phone: 443-327-7449
  • Fax: 443-327-7455
Mailing address:
  • Phone: 330-758-2775
  • Fax: 330-758-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY SANTELLI
Title or Position: OWNER
Credential:
Phone: 724-716-6742