Individual
SAMUEL MICHAEL LOFFREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
447 PLAZA COURT, BUILDING 500, EAST STROUDSBURG, PA 18301-1830
(570) 426-2301
(570) 476-2306
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 629-2282
(570) 476-3475
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA062499
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA062499
LICENSE
PA
Enumeration date
06/11/2021
Last updated
06/11/2021
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