Individual provider · Type 1 NPI

Geno Anthony Santangelo Jr., P.A.-C

Surgical Physician Assistant · South Charleston, WV

NPI number 1013331271 Active

Practice location

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311

Mailing address

716 Plantation Dr
Hurricane, WV 25526-9155

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X00491 (WV)

Surgical Physician Assistant: Definition to come...

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About NPI 1013331271

Geno Anthony Santangelo Jr., P.A.-C's National Provider Identifier is 1013331271, issued on Feb 9, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in South Charleston, WV. The record was last updated on Feb 9, 2014.