Healthcare Provider Details

I. General information

NPI: 1497754519
Provider Name (Legal Business Name): JEAN L SANTO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 N 36TH ST
CAMP HILL PA
17011-2762
US

IV. Provider business mailing address

97 N 36TH ST
CAMP HILL PA
17011-2762
US

V. Phone/Fax

Practice location:
  • Phone: 717-791-2860
  • Fax: 717-303-0000
Mailing address:
  • Phone: 717-791-2860
  • Fax: 717-703-0000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD035037E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD035037E
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberMD035037E
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberMD035037E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: