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Individual
SAMUEL MARSICO
Active
Individual
SAMUEL MARSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002368
DE
225100000X
Physical Therapist
Primary
PT019681
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649430638
—
DE
01
—
3535006000
IBC
—
01
—
5070-0107
GHMSI
—
01
—
94292301
CAREFIRST
—
Enumeration date
06/12/2008
Last updated
07/21/2025
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