Individual provider · NPI-1

Dr. Samer Abu Salem, MD

Colon & Rectal Surgery · New York, NY

NPI number1366272189
StatusActive
Last updated in NPPESAug 19, 2024

Details

NPI
1366272189
Entity type
Individual (NPI-1)
Name
Dr. Samer Abu Salem
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 6, 2024
Certification date
Aug 19, 2024
Last updated
Aug 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal SurgeryP129349NYYes

Practice location

1275 York Ave Apt 36l
New York, NY 10065-6094

Phone 646-596-2009

Mailing address

504 E 63rd St Apt 36l
New York, NY 10065-7933

Phone 646-596-2009

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