Individual
SAMUEL HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3945
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57.018612
OH
208600000X
Surgery Physician
A126940
CA
2086S0129X
Vascular Surgery Physician
Primary
MD455865
PA
Other
Enumeration date
04/07/2011
Last updated
07/15/2021
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