MEDICARE: DR. RONALD JAMES SANTORIELLO D.C.

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	111N00000X	Chiropractor	SO1475	MD

General Provider Information

NPI Number	:	1942325964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD JAMES SANTORIELLO D.C.

Provider Business Mailing Address
First Line	:	1706 TREE HOUSE CT
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-6539
Country	:	US
Telephone Number	:	410-897-1921
Fax Number	:	410-897-1924

Provider Business Practice Location Address
First Line	:	1023 N CALVERT ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-3823
Country	:	US
Telephone Number	:	410-539-7737
Fax Number	:	410-539-7739

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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