Organization
FREDERICK K. SAMSEL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY STRADER (OFFICE MANAGER)
(302) 422-4666
Entity
Organization
Contact information
Practice address
100 KINGS HWY, MILFORD, DE 19963-1812
(302) 422-4666
(302) 422-6064
Mailing address
100 KINGS HWY, MILFORD, DE 19963-1812
(302) 422-4666
(302) 422-6064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10002610
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000020401
—
DE
05
—
0000175502
—
DE
01
—
08D0206762
CLIA WAIVER
DE
01
—
159779
MEDICARE
DE
01
—
276473
GROUP PTAN
DE
Enumeration date
12/17/2012
Last updated
12/08/2014
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