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Organization
SAMUEL HS THE MD PA
Active
Organization
SAMUEL HS THE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIEM THE (PRACTICE MANAGER)
(201) 693-1790
Entity
Organization
Contact information
Practice address
130 ORIENT WAY STE BB, RUTHERFORD, NJ 07070-2145
(201) 343-6916
(201) 438-4227
Mailing address
130 ORIENT WAY STE BB, RUTHERFORD, NJ 07070-2145
(201) 343-6916
(201) 438-4227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA32800
NJ
207RP1001X
Pulmonary Disease Physician
MA32800
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
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Other
Enumeration date
05/27/2010
Last updated
05/14/2026
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