Physician Compare National (NPI:1972684033)

HEALTHCARE PROVIDER: SAMUEL H GALIB MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1972684033
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193791648
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040907000304
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GALIB
	Individual professional last name
Provider First Name	SAMUEL
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1966
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WILLS EYE OPHTHALMOLOGY CLINIC, INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9133025166
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	123
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	801 OLD LANCASTER RD
	Group Practice or individual's line 1 address
City	BRYN MAWR
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190103200
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2159283000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y