# DAVID E SAMUEL DPM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOOT &ANKLE SPEC OF DEL CO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609066471
- **Authorized official:** DR. DAVID EMANUAEL SAMUEL DPM (OWNER)
- **Authorized official phone:** (610) 328-9122

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC003536L | PA | Yes |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 02/12/2008

## 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 |