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Individual

DR. SAMUEL M VENTRELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
728 MARNE HWY STE 200A, MOORESTOWN, NJ 08057-3128
(856) 291-8855
(856) 291-8844
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA06625900
NJ
207UN0901X
Nuclear Cardiology Physician
Primary
25MA06625900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005680689
AETNA
01
2K5365
HEALTHNET
05
8731608
NJ
01
P1034222
OXFORD
Enumeration date
03/20/2006
Last updated
10/28/2024
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