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Individual

SAM W LEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
11137
RI
2080P0207X
Pediatric Hematology & Oncology Physician
13152
ME
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD2017-0771
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7010584
RI
Enumeration date
06/03/2006
Last updated
04/15/2022
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