Individual
SANDRA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18 KOEWING PL, WEST ORANGE, NJ 07052-3928
(973) 731-2954
Mailing address
249 UNIVERSITY AVE, ROOM 104, NEWARK, NJ 07102-1808
(973) 353-5231
(973) 353-1390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA027027000
NJ
Other
Enumeration date
04/27/2008
Last updated
04/27/2008
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