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Individual
SAMUEL I BRANDT
Active
Individual
SAMUEL I BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101046456
VA
207Q00000X
Family Medicine Physician
26496
NC
207Q00000X
Family Medicine Physician
Primary
MD069983L
PA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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