MEDICARE: ELENI SANTARELLI AUD

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	231H00000X	Audiologist	A.02315	OH

General Provider Information

NPI Number	:	1972277127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENI SANTARELLI AUD

Provider Business Mailing Address
First Line	:	2501 COTTONTAIL LN
Second Line	:
City	:	SOMERSET
State	:	NJ
Zip	:	08873-5125
Country	:	US
Telephone Number	:	732-529-7120
Fax Number	:

Provider Business Practice Location Address
First Line	:	2736 MEDINA RD STE 211B
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-9801
Country	:	US
Telephone Number	:	330-952-0220
Fax Number	:	330-952-0006

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

Provider Enumeration Date	:	08/02/2021
Last Update Date	:	08/02/2021

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Directions to “ ELENI SANTARELLI AUD” Practice Location

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