Individual
DR. SAMUEL RICHARD BUDENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1925 WELSH RD, PHILADELPHIA, PA 19115-4659
(215) 677-5120
Mailing address
PO BOX 14560, PHILADELPHIA, PA 19115-0560
(215) 677-5120
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002557L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0910561
—
PA
Enumeration date
12/27/2005
Last updated
08/16/2010
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