Healthcare Provider Details

I. General information

NPI: 1720134554
Provider Name (Legal Business Name): ARTHUR M. SANTOS, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MCKEAN AVE SUITE 102
CHARLEROI PA
15022-2141
US

IV. Provider business mailing address

1200 MCKEAN AVE SUITE 102
CHARLEROI PA
15022-2141
US

V. Phone/Fax

Practice location:
  • Phone: 724-489-0866
  • Fax:
Mailing address:
  • Phone: 724-489-0866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD033585L
License Number StatePA

VIII. Authorized Official

Name: ARTHUR MAGNO SANTOS
Title or Position: OWNER
Credential:
Phone: 724-489-0866