Organization
SAMUEL HS THE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL THE MD (OWNER)
(201) 343-6916
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
207RP1001X
Pulmonary Disease Physician
25MA328000
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
25MA08785100
NJ
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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