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Individual

SAMUEL UMESEGHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 JEFFERSON DAVIS HWY, SUITE 101, FREDERICKSBURG, VA 22401-8402
(540) 656-2950
(540) 656-2957
Mailing address
611 JEFFERSON DAVIS HWY, SUITE 101, FREDERICKSBURG, VA 22401-8402
(540) 656-2950
(540) 656-2957

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242169
VA
207R00000X
Internal Medicine Physician
241718
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
241718
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02861067
NY
Enumeration date
03/08/2007
Last updated
04/16/2014
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