Individual
STEPHANIE LYNN SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PARK ST, NEW HAVEN, CT 06504-8901
(617) 548-9759
Mailing address
34TH AND CIVIC CENTER BOULEVARD, THE CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104
(215) 590-3174
(215) 590-3053
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
064059
CT
2080P0205X
Pediatric Endocrinology Physician
MT208972
PA
Other
Enumeration date
05/04/2012
Last updated
07/21/2022
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