Provider Demographics
NPI:1407817711
Name:SANTOS-TECSON, ENCARNITA IGNACIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ENCARNITA
Middle Name:IGNACIO
Last Name:SANTOS-TECSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 ELK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2563
Mailing Address - Country:US
Mailing Address - Phone:410-860-2388
Mailing Address - Fax:
Practice Address - Street 1:830 CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-9408
Practice Address - Country:US
Practice Address - Phone:410-901-4000
Practice Address - Fax:410-901-4011
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine