David Samuel, MD
Obstetrics & Gynecology, Gynecologic Oncology in Wall Township, NJ. Individual provider (NPI-1).
NPI number1609239003
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1609239003
- Entity type
- Individual (NPI-1)
- Name
- David Samuel
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2016
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | 25MA12301300 | NJ | Yes |
| 207V00000X | Obstetrics & Gynecology | ME145611 | FL | |
| 207V00000X | Obstetrics & Gynecology | 25MA12301300 | NJ |
Practice location
3349 Rte 138 Ste FWall Township, NJ 07719-9671
Phone 732-280-5464 · Fax 732-280-5443
Mailing address
1120 Nw 14th St Ste 610-3Miami, FL 33136-2107
Other practice locations
111 E 210th St
Bronx, NY 10467-2401
Bronx, NY 10467-2401
Phone 718-920-4321
1400 Nw 12th Ave
Miami, FL 33136-1003
Miami, FL 33136-1003
Phone 305-243-2236
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