Individual
SAMUEL SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(551) 996-2608
Mailing address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(551) 996-2608
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
25MA11131700
NJ
204F00000X
Transplant Surgery Physician
261664
NY
208600000X
Surgery Physician
261664
NY
Other
Enumeration date
03/31/2009
Last updated
02/08/2022
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