Individual
DR. SAMSON GURMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-2600
Mailing address
317 N BROAD ST, APT 821, PHILADELPHIA, PA 19107
(215) 762-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT189822
PA
Other
Enumeration date
08/06/2008
Last updated
01/06/2012
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