Dr. Marissa Samuels, MD
Student in an Organized Health Care Education/Training Program in Wynnewood, PA. Individual provider (NPI-1).
NPI number1194656751
StatusActive
Last updated in NPPESJun 2, 2026
Details
- NPI
- 1194656751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marissa Samuels
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2026
- Certification date
- Jun 2, 2026
- Last updated
- Jun 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | MT237399 | PA | Yes |
Practice location
100 E Lancaster AveWynnewood, PA 19096-3450
Phone 610-645-6555
Mailing address
100 E Lancaster AveWynnewood, PA 19096-3450
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All 140 Student in an Organized Health Care Education/Training Program providers in Wynnewood · All 1,419 providers in Wynnewood
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