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Individual

SIAMAK SAMII

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4745 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2067
(302) 454-9011
(302) 454-9016
Mailing address
15 SHADOW LN, CHADDS FORD, PA 19317-9335
(610) 388-2547

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C10T00362
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000096601
DE
Enumeration date
07/12/2005
Last updated
10/25/2007
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