Individual
DR. SAMARESH DASGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6336
(215) 456-6601
Mailing address
929 COX RD, MOORESTOWN, NJ 08057-3937
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB08949800
NJ
207P00000X
Emergency Medicine Physician
OS014627
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT012210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269948
—
NJ
Enumeration date
06/22/2007
Last updated
06/07/2023
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