Samuels, Lleras A

Samuels, Lleras A is an individual health care provider with primary practice located at 8815 Germantown Ave , Philadelphia PA 19118-2722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Samuels, Lleras A can be contacted via phone (215) 707-5864.

Contact Information

Primary practice address
8815 Germantown Ave Philadelphia PA 19118-2722
Phone: (215) 707-5864
Fax: (215) 707-6867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD050516L Pennsylvania

Profile Details

NPI number 1225026487
LBN Legal business name Samuels, Lleras A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 9th, 2018 - about 8 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 1225026487 NPPES
Pennsylvania MEDICAID 0015133600006

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