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Organization

DAVID E SAMUEL DPM

Active
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Organization

DAVID E SAMUEL DPM

Active
Other names
FOOT &ANKLE SPEC OF DEL CO
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID EMANUAEL SAMUEL DPM (OWNER)
(610) 328-9122
Entity
Organization

Contact information

Practice address
196 WEST SPROUL ROAD, SUITE 107, SPRINGFIELD, PA 19064
(610) 328-9122
(610) 328-6219
Mailing address
196 WEST SPROUL ROAD, SUITE 107, SPRINGFIELD, PA 19064
(610) 328-9122
(610) 328-6219

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003536L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036474
JEFFREY D.LEHRMANMEDICARE
PA
05
—
1007605920006
—
PA
01
—
1643217
BLUE SHIELD GROUP
PA
01
—
207731
ADVANTRA FREEDOM
PA
01
—
2317760000
AMERIHEALTH ADM GROUP
PA
01
—
30026957
KEYSTONE MERCY
PA
01
—
53913
BRAVO HEALTH
PA
Enumeration date
07/27/2007
Last updated
02/12/2008
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