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Dr. Thomas Samuelsen, MD

Obstetrics & Gynecology in Wilkes Barre, PA. Individual provider (NPI-1).

NPI number1467431858
StatusActive
Last updated in NPPESAug 10, 2020

Details

NPI
1467431858
Entity type
Individual (NPI-1)
Name
Dr. Thomas Samuelsen
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 13, 2006
Certification date
Aug 10, 2020
Last updated
Aug 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & GynecologyMD043615LPAYes
207VG0400X Obstetrics & Gynecology, GynecologyMD043615LPA

Practice location

1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906

Phone 570-808-7916 · Fax 570-808-6006

Mailing address

100 North Academy Ave
Danville, PA 17822-4903

Phone 570-271-6144

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