Organization
SAMARITAN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRAN CHANDLER (OWNER)
(732) 247-1106
Entity
Organization
Contact information
Practice address
508 S ORANGE AVE, NEWARK, NJ 07103-1338
(732) 247-1106
(732) 247-1124
Mailing address
508 S ORANGE AVE, NEWARK, NJ 07103-1338
(732) 247-1106
(732) 247-1124
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132292
—
NJ
Enumeration date
09/25/2007
Last updated
09/25/2007
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