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Individual
SAMUEL MASTER
Active
Individual
SAMUEL MASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
294447
NY
208000000X
Pediatrics Physician
OT016663
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
294447
NY
Other
Enumeration date
06/08/2015
Last updated
12/05/2024
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