Santos Md Dr Llc | |
390 Orleans Rd North Chatham MA 02650-1154 | |
(508) 945-4611 | |
(508) 945-2245 |
Full Name | Santos Md Dr Llc |
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Speciality | Internal Medicine |
Location | 390 Orleans Rd, North Chatham, Massachusetts |
Authorized Official Name and Position | Marcial A Santos (PRESIDENT) |
Authorized Official Contact | 5088882767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Santos Md Dr Llc Po Box 905 Falmouth MA 02541 Ph: (508) 548-8989 | Santos Md Dr Llc 390 Orleans Rd North Chatham MA 02650-1154 Ph: (508) 945-4611 |
NPI Number | 1013455286 |
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Provider Enumeration Date | 02/07/2017 |
Last Update Date | 02/07/2017 |
Medicare PECOS PAC ID | 2163707266 |
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Medicare Enrollment ID | O20170331000413 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013455286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 225848 (Massachusetts) | Primary |
Provider Name | Marcial A Santos |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366423196 PECOS PAC ID: 3577597970 Enrollment ID: I20050926000383 |
Caredoccomm Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Orleans Rd, North Chatham, MA 02650 Phone: 508-945-4611 Fax: 508-945-2245 |