Individual
SAMIAPPAN MUTHUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
695 CHESTNUT ST, UNION, NJ 07083-9302
(908) 688-6565
(908) 688-3161
Mailing address
695 CHESTNUT ST, UNION, NJ 07083-9302
(908) 688-6565
(908) 688-3161
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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