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Richard A. De Santis, Ph.d., M.d., P.c.
Medical Specialty Clinic/Center in Bel Air, Maryland
NPI 1447560834

Richard A. De Santis, Ph.d., M.d., P.c. is a Medical Specialty Clinic/Center based in Bel Air, MD and is specialized in Medical Specialty. Richard A. De Santis, Ph.d., M.d., P.c. practices in Bel Air, MD. The NPI Number for Richard A. De Santis, Ph.d., M.d., P.c. is 1447560834 and holds a License No. D40938 (Maryland).

The current practice location address for Richard A. De Santis, Ph.d., M.d., P.c. is 715 S Shamrock Rd, Bel Air, MD and can be reached out via phone at 410-838-5208 and via fax at 410-838-6129.

Location: 715 S Shamrock Rd, Bel Air, MD, 21014-4457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447560834
Provider Name
Richard A. De Santis, Ph.d., M.d., P.c.
Credential
Provider Entity Type
Organization
Address
715 S Shamrock Rd, Bel Air, MD, 21014-4457
Phone Number
410-838-5208
Fax Number
410-838-6129
Provider Enumeration Date
10/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
698491600 05 MD
institution
Provider Business Practice Location Address Details
Address
715 S Shamrock Rd
City
Bel Air
State
Maryland
Zip
21014-4457
Phone Number
410-838-5208
Fax Number
410-838-6129
person
Provider Business Mailing Address Details
Address
715 S Shamrock Rd
City
Bel Air
State
Maryland
Zip
21014-4457
Phone Number
410-838-5208
Fax Number
410-838-6129
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
D40938 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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