Individual
SAMUEL MADEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 WHITEHORSE MERCERVILLE RD, STE 317, MERCERVILLE, NJ 08619-3810
(609) 585-2040
(609) 585-2520
Mailing address
407 FLORAL VALE BLVD, YARDLEY, PA 19067-5526
(215) 860-3344
(215) 860-8950
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04066300
NJ
207RI0011X
Interventional Cardiology Physician
25MA04066300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075258000
AMERIHEALTH #
NJ
01
—
1135374
HORIZON NJ HEALTH #
NJ
01
—
1K0311
HEALTHNET #
NJ
01
—
35109
AETNA HMO #
NJ
01
—
4096750
AETNA PPO #
NJ
05
—
4973101
—
NJ
01
—
82996
AMERIGROUP #
NJ
01
—
MES266
OXFORD ID #
NJ
Enumeration date
06/17/2005
Last updated
12/14/2007
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