Individual
LEAH SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST CB-2041, NORTHEAST MEDICAL GROUP, INC, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST CB-2041, NORTHEAST MEDICAL GROUP, INC, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
045722
CT
207R00000X
Internal Medicine Physician
243808
NY
208M00000X
Hospitalist Physician
Primary
045722
CT
208M00000X
Hospitalist Physician
243808
NY
Other
Enumeration date
08/29/2006
Last updated
10/23/2013
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