Individual
SAMUEL THALATHOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 346-6000
Mailing address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB12210000
NJ
Other
Enumeration date
04/27/2021
Last updated
07/11/2024
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