Individual
DR. SAMUEL ANTHONY VALLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 LOCUST AVE, WASHINGTON, PA 15301-3397
(724) 222-9300
(724) 228-1856
Mailing address
400 LOCUST AVE, WASHINGTON, PA 15301-3397
(724) 222-9300
(724) 228-1856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD468324
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD468324
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103219547
—
PA
01
—
14511596
CAQH
—
Enumeration date
06/07/2016
Last updated
07/29/2026
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