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Individual

DR. LEWIS R SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 CARNIE BLVD, SUITE B-5 SOUTH JERSEY RADIOLOGY ASSOCIATES, VOORHEES, NJ 08043-4512
(856) 751-0123
(856) 751-0535
Mailing address
SOUTH JERSEY RADIOLOGY ASSOCIATES, PA, PO BOX 23355, NEWARK, NJ 07189-0001
(856) 770-0300
(856) 770-0395

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04580400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0536797000
AMERIHEALTH
01
0814136
AETNA
01
1089280
HORIZON NJ HEALTH
01
1241866
UNITED HEALTHCARE
05
2420104
NJ
01
A3738029
OXFORD HEALTH
01
SA701402
HIGHMARK PA BLUE SHIELD
Enumeration date
09/01/2005
Last updated
11/27/2007
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