Individual
JOSE SAMSON
Active
Individual
JOSE SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD038428L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000953390 0005
—
PA
01
—
0022565000
IBX
PA
01
—
30060118
KEYSTONE MERCY
PA
01
—
30060272
KEYSTONE MERCY-LOWER BUCKS GROUP
PA
01
—
413532
HIGHMARK BLUE SHIELD
PA
01
—
P00718793
RAILROAD MEDICARE
PA
01
—
P00774660
RR MEDICARE - BUCKS
PA
Enumeration date
06/21/2007
Last updated
01/12/2010
Update your record
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