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Individual
JOEL L SAMITT
Active
Individual
JOEL L SAMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002216L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000041591
BLUE SHIELD
—
05
—
0006082170005
—
PA
01
—
0041591
KEYSTONE
—
01
—
4597687
AETNA
—
01
—
50051237
BLUE CROSS
—
01
—
P002411
GATEWAY
—
01
—
P00257504
RR MEDICARE
—
Enumeration date
07/03/2006
Last updated
03/26/2010
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