Individual
DR. ANISH SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 ALPS RD, WAYNE, NJ 07470-3600
(862) 261-5553
(201) 541-3460
Mailing address
1500 ALPS RD, WAYNE, NJ 07470-3600
(862) 261-5553
(201) 541-3460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MAO9671300
NJ
207R00000X
Internal Medicine Physician
56713-20
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA09671300
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA09671300
NJ
208M00000X
Hospitalist Physician
25MA09671300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477125
—
NJ
Enumeration date
04/23/2010
Last updated
05/07/2024
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