Provider Demographics
NPI:1326109612
Name:SANTEL, FABIENNE J (MD)
Entity Type:Individual
Prefix:DR
First Name:FABIENNE
Middle Name:J
Last Name:SANTEL
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:PPQA MEDICARE COMPLIANCE UNIT 6 W ATTN THERESA BROOKS
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:1500 FOREST GLEN ROAD
Practice Address - Street 2:UM GROUND LEVEL
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-7803
Practice Address - Country:US
Practice Address - Phone:301-754-7361
Practice Address - Fax:301-681-7609
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD035361207R00000X
MDD61768207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I09909Medicare UPIN
014492K92Medicare ID - Type Unspecified