Individual
SAMUEL DAVID ECHEVERRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 SOUTH ST STE 230B, MORRISTOWN, NJ 07960-6477
(973) 267-2838
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA09131000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09131000
MEDICAL LICENSE
NJ
Enumeration date
09/26/2012
Last updated
07/21/2022
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