Individual
JORGE SAM
Active
Individual
JORGE SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN590397
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15024300
NJ
367500000X
Certified Registered Nurse Anesthetist
26NR18057100
NJ
Other
Enumeration date
06/21/2018
Last updated
01/24/2025
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