Fred E Santoro M.D.

NPI 1639269970 - Pediatrics - 208000000X

NPI Details
NPI 1639269970
Gender Male
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
15 CHESTERFIELD RD
FLANDERS PLAZA, SUITE 214
EAST LYME CT, 06333-1730, US
Phone (860) 739-0404
Fax (860) 739-1881
Business Location
15 CHESTERFIELD RD
PO BOX 159
EAST LYME CT, 06333-1730, US
Phone (860) 739-0404
Fax (860) 739-1881
Toxanomy
Taxonomy Code 208000000X
License State Connecticut
License Number 029410
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According to our database, Fred E Santoro M.D. NPI is 1639269970, taxonomy code is 208000000X and license number is 029410, license state is located at Connecticut. Fred E Santoro M.D. physically located at 15 Chesterfield Rd, East Lyme CT, 06333-1730. NPI Number Fred E Santoro M.D. has the Individual type.

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1639269970 NPI number is provided on an as is basis without warranty of any kind. 1639269970 is maintained by the National Plan & Provider Enumeration System. The contents of Fred E Santoro M.D. are for informational purposes only.