Individual
JOSHUA SAMUDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(757) 515-6413
Mailing address
531 PIERCE ST, PHILADELPHIA, PA 19148-1807
(757) 515-6413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT231707
PA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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