Individual
BRIAN T SAMUELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8650
(781) 744-5345
Mailing address
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8650
(781) 744-5345
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
58197
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
279055
MA
Other
Enumeration date
07/11/2013
Last updated
08/08/2019
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