Organization
EASTSIDE SURGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEH MICHAEL SALAMA M.D. (OWNER)
(425) 455-4900
Entity
Organization
Contact information
Practice address
1370 116TH AVE NE,, SUITE 209, BELLEVUE, WA 98004-3825
(425) 455-4900
(425) 455-4970
Mailing address
1370 116TH AVE NE STE 209, BELLEVUE, WA 98004-3825
(425) 455-4900
(425) 455-4970
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00030094
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8180127
—
WA
Enumeration date
01/30/2009
Last updated
10/15/2011
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