Healthcare Provider Details

I. General information

NPI: 1255085908
Provider Name (Legal Business Name): SAMA DX INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 NASSAU ST
PRINCETON NJ
08542-4600
US

IV. Provider business mailing address

252 NASSAU ST
PRINCETON NJ
08542-4600
US

V. Phone/Fax

Practice location:
  • Phone: 650-521-1157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SARTHAK SANJAY SAWARKAR
Title or Position: CEO
Credential:
Phone: 716-319-0360