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Organization

SYDIAN ANESTHESIA, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER J SAMUEL MD (DIRECTOR/ACTIVE,ATTENDING)
(814) 623-3524
Entity
Organization

Contact information

Practice address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 623-3524
(814) 624-0646
Mailing address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 623-3524
(814) 624-0646

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD062329L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1830993
PA
Enumeration date
08/23/2005
Last updated
08/22/2020
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