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1043509110
ROBERT DISANTIS
LEBANON, PA
NPI
1043509110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD456809)
Enumeration Date
2011-03-29
Last Update Date
2016-04-12
Business Address
-- ROBERT DISANTIS
1700 S LINCOLN AVE MEDICINE CARE LINE, BLD 1, 5TH FLOOR
LEBANON, PA 17042-7529
Phone number: 717-272-6621
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Mailing Address
-- ROBERT DISANTIS
1700 S LINCOLN AVE MEDICINE CARE LINE, BLD 1, 5TH FLOOR
LEBANON, PA 17042-7529
Phone number: 717-272-6621
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