Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MD467585 | PA |
NPI | 1477996023 |
---|---|
Provider Name | Deliamille Perez-Santiago |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-8329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2013 |
Last Update Date | 27/08/2020 |