Individual
MARWAN ABDUL SAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8224 CALUMET AVE, MUNSTER, IN 46321-1704
(219) 836-1855
(219) 836-0527
Mailing address
8224 CALUMET AVE, MUNSTER, IN 46321-1704
(219) 836-1855
(219) 836-0527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01040993A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319360A
—
IN
Enumeration date
07/31/2006
Last updated
10/17/2015
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