Individual
MR. SAMUEL DISSTON ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
523 GUINEVERE DR, NEW TOWN SQUARE, PA 19073
(610) 356-7157
Mailing address
523 GUINEVERE DR, NEW TOWN SQUARE, PA 19073
(610) 356-7157
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00799E
PA
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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