| Donald Desantis, MD | |
| 552a Lancaster Ave, Berwyn, PA 19312-1635 | |
| (610) 644-7100 | |
| (610) 644-7111 | 
| Full Name | Donald Desantis | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 552a Lancaster Ave, Berwyn, Pennsylvania | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528034071 | NPI | - | NPPES | 
| 1700922 | Other | NC | UNITED HEALTHCARE NUMBER | 
| 5435826 | Other | NC | CIGNA NUMBER | 
| 89137P1 | Medicaid | NC | |
| 4087699 | Other | NC | AETNA NUMBER | 
| D5599 | Other | NC | MEDCOST NUMBER | 
| 2130600 | Other | NC | MAMSI NUMBER | 
| 137P1 | Other | NC | BCBS NUMBER | 
| 804764 | Other | NC | PARTNERS MEDICARE CHOICE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 200200107 (North Carolina) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Donald Desantis, MD 552a Lancaster Ave, Berwyn, PA 19312-1635 Ph: (610) 644-7100 | Donald Desantis, MD 552a Lancaster Ave, Berwyn, PA 19312-1635 Ph: (610) 644-7100 | 
| David Rose, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1001 Chesterbrook Blvd, Berwyn, PA 19312 Phone: 610-576-7500 Fax: 610-576-7705 |