Individual
DONALD G SAMUELSON
Active
Individual
DONALD G SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD042051E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012886780004
—
PA
01
—
0128867807
AMERICHOICE
PA
01
—
0562924000
KEYSTONE HEALTHPLAN EAST
PA
01
—
0735848
AETNA
PA
01
—
725470
BLUE SHIELD PA
PA
Enumeration date
10/24/2006
Last updated
10/04/2007
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