Provider Demographics
NPI:1508082470
Name:SANTMIRE, CORINA (MD)
Entity Type:Individual
Prefix:
First Name:CORINA
Middle Name:
Last Name:SANTMIRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CORINA
Other - Middle Name:
Other - Last Name:FILIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 WOODRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-3621
Mailing Address - Country:US
Mailing Address - Phone:781-267-5695
Mailing Address - Fax:
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2714
Practice Address - Country:US
Practice Address - Phone:978-354-3530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL167473207RC0200X
MA235023207RC0200X
RILP01020207RC0200X
NH21356207RC0200X
HI22442207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine