Jesus G Santiano
General Practice Physician
100 8th Street
Pocomoke
, Maryland 21851-1129
Jesus G Santiano
General Practice Physician
100 8th Street
Pocomoke
, Maryland 21851-1129
(410) 957-3904
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jesus G Santiano
- 100 8th Street
- Pocomoke, MD
- Zip : 21851-1129
- Fax : (410) 957-3904
- Phone : (410) 957-1310
Second Address
- Jesus G Santiano
- 100 8th Street
- Pocomoke, MD
- Zip : 21851-1129
- Fax : (410) 957-3904
- Phone : (410) 957-1310
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | D0002556 | MD |
National Provider Identifier
| NPI | 1003920885 |
|---|---|
| Provider Name | Jesus G Santiano |
| First Address | Pocomoke, MD 21851-1129 |
| Second Address | Pocomoke, MD 21851-1129 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2006 |
| Last Update Date | 06/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 043611900 | (05) | MD |
| D70284 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.