Provider Demographics
NPI:1053377705
Name:SANTOS, ARTHUR MAGNO (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:MAGNO
Last Name:SANTOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2171 CHARDONNAY CIR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-7469
Mailing Address - Country:US
Mailing Address - Phone:724-612-0959
Mailing Address - Fax:412-998-7849
Practice Address - Street 1:200 JAMES PL STE 301
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3410
Practice Address - Country:US
Practice Address - Phone:724-612-0959
Practice Address - Fax:412-998-7849
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD035561L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty