Individual
DR. MOURAD B SAMAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX-LEBANON HOSPITAL, BRONX, NY 10457-7606
(718) 518-5854
Mailing address
17-14 RADBURN RD, FAIR LAWN, NJ 07410-4416
(201) 796-7475
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
191218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01704627
—
NY
Enumeration date
01/31/2007
Last updated
07/08/2007
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