Individual
DR. ENRIQUE SAMANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8909 OLD BRANCH AVE, CLINTON, MD 20735-2528
(301) 868-7780
(301) 868-9098
Mailing address
239 MURTHA ST, ALEXANDRIA, VA 22304-8602
(571) 233-7373
(703) 567-0101
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0053066
MD
207RP1001X
Pulmonary Disease Physician
D0053066
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6875-0047
BLUE CROSS BLUE SHIELD
MD
Enumeration date
12/30/2006
Last updated
12/06/2007
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