Basic Information
| Provider Information | |||||||||
| NPI: | 1407817711 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANTOS-TECSON | ||||||||
| FirstName: | ENCARNITA | ||||||||
| MiddleName: | IGNACIO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4220 ELK CREEK DR | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218042563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108602388 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 830 CHESAPEAKE DR | ||||||||
| Address2: | |||||||||
| City: | CAMBRIDGE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 216139408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109014000 | ||||||||
| FaxNumber: | 4109014011 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2006 | ||||||||
| LastUpdateDate: | 10/14/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | D0058662 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.