Individual
DR. SAMUEL JAY PERETSMAN
Active
Individual
DR. SAMUEL JAY PERETSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
89031
SC
208800000X
Urology Physician
Primary
9500688
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10465
PARTNERS PROVIDER #
NC
01
—
340016821
RAILROAD MEDICARE INDI #
NC
01
—
66833
BCBS INDI PROVIDER #
NC
Enumeration date
06/05/2006
Last updated
05/30/2023
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