Edward J. Santoro MD., INC.
Clinic/Center in Fresno, CA. Organization (NPI-2).
NPI number1720162563
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720162563
- Entity type
- Organization (NPI-2)
- Legal business name
- Edward J. Santoro MD., INC.
- Organization subpart
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | A21184 | CA | Yes |
Practice location
703 N Fulton StSuite 202
Fresno, CA 93728-3405
Phone 559-237-1580 · Fax 559-233-3381
Mailing address
703 N Fulton StSuite 202
Fresno, CA 93728-3405
Phone 559-237-1580 · Fax 559-233-3381
Authorized official
Edward J Santoro
Medical Director
5592371580
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