Individual
DR. SAMUEL UDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5635 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1853
(856) 662-8999
(856) 662-8855
Mailing address
5635 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1853
(856) 662-8999
(856) 662-8855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00157100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2343801
—
NJ
Enumeration date
05/22/2006
Last updated
01/23/2012
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