Individual
DR. RUSSELL SAMOFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
510 HAMBURG TPKE, SUITE 108, WAYNE, NJ 07470
(973) 925-4111
(973) 925-7711
Mailing address
510 HAMBURG TPKE, SUITE 108, WAYNE, NJ 07470-2025
(973) 925-4111
(973) 925-7711
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00323100
NJ
Other
Enumeration date
06/28/2012
Last updated
04/23/2019
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