Philip T Santiago in Lake Hiawatha - Sports Physician

Philip T Santiago - NPI 1134106669

Philip T Santiago is a Sports Physician in Lake Hiawatha, New Jersey. Philip T Santiago practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Philip T Santiago is 1134106669. The last update date is 2007-07-08.

Philip T Santiago's current location address is 75 N Beverwyck Rd, Lake Hiawatha, New Jersey. You can contact this provider via phone number 9733355666 and fax number 9733356187. The mailing address for Philip T Santiago is 75 N Beverwyck Rd, Lake Hiawatha, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Philip T Santiago
Address 75 N Beverwyck Rd, Lake Hiawatha, New Jersey
Phone Number 9733355666
Fax Number 9733356187
Sole Proprietor X
Credentials D.C.

NPI Number Detail

NPI Number 1134106669
Provider Enumeration Date 2005-12-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 75 N Beverwyck Rd
City Lake Hiawatha
State New Jersey (NJ)
Post Code 70342601
Phone Number 9733355666
Fax Number 9733356187

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 38MC00181500
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Philip T Santiago

What is the unique 10-digit identifier code assigned to Philip T Santiago by the Centers for Medicare & Medicaid Services?

The Philip T Santiago has been issued the NPI (National Provider Identifier) 1134106669 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Philip T Santiago is physically located?

The Philip T Santiago is situated at the following address: 75 N Beverwyck Rd, Lake Hiawatha, NJ 70342601.

What is Philip T Santiago's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Philip T Santiago is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.

On what date did Philip T Santiago receive its 1134106669 assignment from the Centers for Medicare & Medicaid Services?

The Philip T Santiago was assigned its 1134106669 on 2005-12-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Philip T Santiago, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Philip T Santiago, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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