Individual
SAMIAPPAN MUTHUSAMY
Active
Individual
SAMIAPPAN MUTHUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35548
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033359
AETNA
NJ
05
—
0780901
—
NJ
01
—
0K7022
HEALTHNET
NJ
01
—
100010883
RAILROAD MEDICARE
NJ
01
—
P400096
OXFORD
NJ
Enumeration date
05/02/2006
Last updated
12/31/2007
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