Active NPIIndividual provider

Gino Desantis, PA-C

Physician Assistant in Norristown, Pennsylvania

NPI Number1114016995
Practice location
2701 Dekalb Pike, Norristown, PA 19401-1820
Fax
—
Last updated
July 8, 2007

Gino Desantis is a Physician Assistant based in Norristown, PA. Gino Desantis practices in Norristown, PA and has the professional credentials of PA-C. The NPI Number for Gino Desantis is 1114016995 and holds a License No. MA052388 (PA). The current practice location address for Gino Desantis is 2701 Dekalb Pike, Norristown, PA 19401-1820 and can be reached out via phone at 610-278-2000.

Provider Profile Details

NPI Number
1114016995
Provider Name
Gino Desantis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2701 Dekalb Pike, Norristown, PA 19401-1820
Phone Number
610-278-2000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 12, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2701 Dekalb Pike
Norristown, PA 19401-1820
Zip
19401-1820
Phone Number
610-278-2000
Norristown, PA 19401Get directions →

Provider Business Mailing Address Details

Address
12 Gill St
Ste 3000
Woburn, MA 01801-1728
City
Woburn
State
MA
Zip
01801-1728
Phone Number
781-937-4522

License Information

License Number
MA052388
License State
PA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gino Desantis, PA-C?

The NPI number of Gino Desantis, PA-C is 1114016995. It was assigned on October 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Gino Desantis, PA-C?

Gino Desantis, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA052388.

Where does Gino Desantis, PA-C practice?

The practice location is 2701 Dekalb Pike, Norristown, PA 19401-1820. The office can be reached at 610-278-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114016995 directly on the NPPES registry website.

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