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Organization

DAVID E SAMUEL DPM

Active
Other names
FOOT &ANKLE SPEC OF DEL CO
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID EMANUAEL SAMUEL DPM (OWNER)
(610) 328-9122
Entity
Organization

Contact information

Practice address
196 WEST SPROUL ROAD, SUITE 107, SPRINGFIELD, PA 19064
(610) 328-9122
(610) 328-6219
Mailing address
196 WEST SPROUL ROAD, SUITE 107, SPRINGFIELD, PA 19064
(610) 328-9122
(610) 328-6219

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003536L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036474
JEFFREY D.LEHRMANMEDICARE
PA
05
1007605920006
PA
01
1643217
BLUE SHIELD GROUP
PA
01
207731
ADVANTRA FREEDOM
PA
01
2317760000
PERSONAL CHOICE GROUP
PA
01
30026957
KEYSTONE MERCY
PA
01
53913
BRAVO HEALTH
PA
Enumeration date
07/27/2007
Last updated
02/12/2008
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