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Individual

DR. SAMPSON M DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3674
(732) 442-3700
Mailing address
66 W GILBERT ST, SUITE 100, TINTON FALLS, NJ 07701-4918
(721) 212-0060
(732) 212-0061

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07204500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34498
UHP-NON PAR
NJ
05
9089209
NJ
Enumeration date
08/10/2005
Last updated
06/17/2009
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