NPI 1013110584

Wilma Ivette Santiago, MD

Practitioner General Practice Physician Lansdale, PA

Practice location

Address: 1970 N Broad St, Lansdale, PA 19446-1002
Phone: (215) 368-1900
Fax: (215) 368-8772
Mailing address: 751 Vanderburg Road APT 4314, King of Prussia, PA 19406-2753

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MD461915 (PA)

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Registry record

NPI: 1013110584
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2007
Record last updated: 31 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.