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Individual

JOSE SAMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1799 JOCKEYS WAY, YARDLEY, PA 19067-3972
(215) 497-0728
Mailing address
1799 JOCKEYS WAY, YARDLEY, PA 19067-3972
(215) 497-0728

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
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