| Samuel Hs The Md Pa | |
|
130 Orient Way Ste Bb Rutherford NJ 07070-2145 | |
| (201) 438-6916 | |
| (201) 438-4227 |
| Full Name | Samuel Hs The Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Orient Way Ste Bb, Rutherford, New Jersey |
| Authorized Official Name and Position | Kiem The (PRACTICE MANAGER) |
| Authorized Official Contact | 2014386916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Hs The Md Pa 33 E Century Rd Paramus NJ 07652 Ph: (201) 262-3628 | Samuel Hs The Md Pa 130 Orient Way Ste Bb Rutherford NJ 07070-2145 Ph: (201) 438-6916 |
| NPI Number | 1982923124 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 05/27/2010 |
| Medicare PECOS PAC ID | 3870781263 |
|---|---|
| Medicare Enrollment ID | O20101229000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982923124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA32800 (New Jersey) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | MA32800 (New Jersey) | Secondary |
| Provider Name | Samuel Hs The |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588637292 PECOS PAC ID: 5294922944 Enrollment ID: I20101208000221 |
| Provider Name | Andrew H The |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1467602201 PECOS PAC ID: 4082779707 Enrollment ID: I20110215000436 |
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