Individual
DR. ALBERT D SAM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N BEAUREGARD ST STE 50, ALEXANDRIA, VA 22311-1735
(703) 205-7330
(703) 205-7331
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15157R
LA
2086S0129X
Vascular Surgery Physician
Primary
0101268276
VA
2086S0129X
Vascular Surgery Physician
55673
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162604
—
LA
Enumeration date
11/02/2005
Last updated
11/27/2023
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