Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ann Santucci, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063269744

Mary Ann Santucci, MD is a Student in an Organized Health Care Education/Training Program in Lakewood, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14601 Detroit Ave
Lakewood, OH 44107-4205
Phone: (216) 237-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063269744
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2024
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

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