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Organization

MOAZAM J SAMDANI MD SC

Active
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Organization

MOAZAM J SAMDANI MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOAZAM J SAMDANI MD (PRESIDENT)
(920) 261-3333
Entity
Organization

Contact information

Practice address
123 HOSPITAL DR, #214, WATERTOWN, WI 53098
(920) 261-3333
(920) 261-6955
Mailing address
123 HOSPITAL DR, #214, WATERTOWN, WI 53098
(920) 261-3333
(920) 261-6955

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19713
WI

Other

Enumeration date
11/13/2006
Last updated
08/22/2020
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