Individual
DR. EDUARDO W SAMANIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
76 PROSPECT ST, NEWARK, NJ 07105-1881
(973) 344-1313
(973) 344-1811
Mailing address
76 PROSPECT ST, NEWARK, NJ 07105-1881
(973) 344-1313
(973) 344-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08438900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181056
—
NJ
Enumeration date
07/24/2008
Last updated
12/21/2009
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