| Santos Md Dr Llc | |
|
390 Orleans Rd North Chatham MA 02650-1154 | |
| (508) 945-4611 | |
| (508) 945-2245 |
| Full Name | Santos Md Dr Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 390 Orleans Rd, North Chatham, Massachusetts |
| Authorized Official Name and Position | Marcial A Santos (PRESIDENT) |
| Authorized Official Contact | 5088882767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santos Md Dr Llc Po Box 905 Falmouth MA 02541 Ph: (508) 548-8989 | Santos Md Dr Llc 390 Orleans Rd North Chatham MA 02650-1154 Ph: (508) 945-4611 |
| NPI Number | 1013455286 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Medicare PECOS PAC ID | 2163707266 |
|---|---|
| Medicare Enrollment ID | O20170331000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013455286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 225848 (Massachusetts) | Primary |
| Provider Name | Marcial A Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366423196 PECOS PAC ID: 3577597970 Enrollment ID: I20050926000383 |
Caredoccomm Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Orleans Rd, North Chatham, MA 02650 Phone: 508-945-4611 Fax: 508-945-2245 |