Provider Demographics
NPI:1083732937
Name:SANTORO, CARRIE F (PA)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:F
Last Name:SANTORO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 ORMOND AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2622
Mailing Address - Country:US
Mailing Address - Phone:610-446-1950
Mailing Address - Fax:
Practice Address - Street 1:ST CHRISTOPHER'S HOSPITAL FOR CHILDREN
Practice Address - Street 2:ERIE AVE AT FRONT STREET IMMUNOLOGY 3RD FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134
Practice Address - Country:US
Practice Address - Phone:215-427-4324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA050840363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical