Provider Demographics
NPI:1073727954
Name:SANTANGELO, CESARE F (MD)
Entity Type:Individual
Prefix:
First Name:CESARE
Middle Name:F
Last Name:SANTANGELO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 F ST NW
Mailing Address - Street 2:SUITE #401
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2715
Mailing Address - Country:US
Mailing Address - Phone:202-223-1322
Mailing Address - Fax:202-223-0253
Practice Address - Street 1:2112 F ST NW
Practice Address - Street 2:SUITE #401
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2715
Practice Address - Country:US
Practice Address - Phone:202-223-1322
Practice Address - Fax:202-223-0253
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD16815174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
786100Medicare ID - Type Unspecified
DCG09641Medicare UPIN