Individual
TED SAMADDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-8905
(843) 792-3072
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-8905
(843) 792-3072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38485
SC
Other
Enumeration date
07/20/2013
Last updated
06/15/2015
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