Samuel, Lewis R

Samuel, Lewis R is an individual health care provider with primary practice located at 100 Carnie Blvd Suite B-5 South Jersey Radiology Associates, Voorhees NJ 08043-4512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Samuel, Lewis R can be contacted via phone (856) 751-0123.

Contact Information

Primary practice address
100 Carnie Blvd Suite B-5 South Jersey Radiology Associates Voorhees NJ 08043-4512
Phone: (856) 751-0123
Fax: (856) 751-0535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA04580400 New Jersey

Profile Details

NPI number 1861486169
LBN Legal business name Samuel, Lewis R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Nov 27th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861486169 NPPES
Other 0814136 AETNA
MEDICAID 2420104 AETNA
Other A3738029 AETNA
Other 0536797000 AETNA
Other 1089280 AETNA
Other SA701402 AETNA
Other 1241866 AETNA

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