Organization
EOS MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SAMA MD (OWNER/AUTHORIZED OFFICIAL)
(845) 226-8045
Entity
Organization
Contact information
Practice address
666 STONELEIGH AVE, CARMEL, NY 10512
(856) 616-8100
(856) 616-1919
Mailing address
PO BOX 11090, WESTMINSTER, CA 92685-1090
(562) 809-3573
(562) 468-0676
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02313642
—
NY
Enumeration date
07/03/2006
Last updated
11/30/2012
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