Samuels, Pauline M

Samuels, Pauline M is an individual health care provider with primary practice located at 1999 Sproul Rd Ste 11 , Broomall PA 19008-3508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Samuels, Pauline M can be contacted via phone (610) 394-6666.

Contact Information

Primary practice address
1999 Sproul Rd Ste 11 Broomall PA 19008-3508
Fax: (610) 394-6667
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD056958L Pennsylvania

Profile Details

NPI number 1033132709
LBN Legal business name Samuels, Pauline M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 22nd, 2024 - about 2 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 1033132709 NPPES
Pennsylvania MEDICAID 0016036540004

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