Search › Maryland › 183500000X
Santander Bornacelly, B652758014569
NPI 1699189118 · on the registry since 2014 · sole proprietor
Practice
- Address
- 580 Wesel Blvd
Hagerstown, MD 21740 - Phone
- (301) 739-7230
- Fax
- (301) 733-1558
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland