MEDICARE: DR. PHILIP SANTORA 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	2084P0800X	Psychiatry Physician	8207	NH

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	:	1871692467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP SANTORA MD

Provider Business Mailing Address
First Line	:	PO BOX 2032
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03302-2032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 PLEASANT ST
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-4006
Country	:	US
Telephone Number	:	603-228-1551
Fax Number	:

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	01/21/2015

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