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Organization
PAULINE M. SAMUELS, M.D., PC
Active
Organization
PAULINE M. SAMUELS, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE M SAMUELS M.D. (PRESIDENT)
(610) 394-6666
Entity
Organization
Contact information
Practice address
3712 GARRETT RD, DREXEL HILL, PA 19026-3505
(610) 394-6666
(610) 394-6667
Mailing address
3712 GARRETT RD, DREXEL HILL, PA 19026-3505
(610) 394-6666
(610) 394-6667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD956958L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016036540005
—
PA
01
—
8240
ELDERHEALTH
PA
01
—
AETNA
0561
PA
01
—
KEYSTONE
2147326001
PA
Enumeration date
07/14/2006
Last updated
04/20/2008
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