Individual
SAMUEL CARUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 MAIN ST STE 101D, BOONTON, NJ 07005-1799
(862) 222-4629
(973) 352-9519
Mailing address
P.O. BOX 429, MOUNTAIN LAKES, NJ 07046-1119
(862) 222-4629
(973) 352-9519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
217213
NY
207L00000X
Anesthesiology Physician
Primary
25MA07863200
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
217213
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA07863200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402459100
—
MD
Enumeration date
06/28/2005
Last updated
12/07/2015
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