MR. Ronald J De Santo, CPED

NPI #1336330703 in Southport, North Carolina

Provider Information

NPI Number: 1336330703
Entity Type: Individual
Name: MR. Ronald J De Santo, CPED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: CPED
Enumeration Date: Aug 9, 2007
Last Updated: Aug 9, 2007

Practice Location

Address: 1635 N HOWE ST
Address 2: STE H
City: Southport
State: North Carolina
ZIP Code: 28461
Phone: (910) 454-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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