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Individual
MR. MARK SAMONSKY
Active
Individual
MR. MARK SAMONSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2000002024
HI
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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