Individual
DR. BRIAN C SAMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
571 HADDON AVE, COLLINGSWOOD, NJ 08108-1445
(856) 858-3937
(856) 425-2571
Mailing address
571 HADDON AVE, COLLINGSWOOD, NJ 08108-1445
(856) 858-3937
(856) 425-2571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00631700
NJ
152W00000X
Optometrist
27OA00631702
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291510
—
NJ
01
—
235727ZKMT
MEDICARE PTAN
NJ
Enumeration date
09/30/2011
Last updated
01/30/2015
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