MEDICARE: STEVEN A SAMUEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	25MA04561700	NJ
2	207RC0000X	Cardiovascular Disease Physician	MD039170E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F06619	OTHER	NJ	HEALTHNET #
2	0347621000	OTHER	NJ	AMERIHEALTH #
3	4096985	OTHER	NJ	AETNA HMO #
4	43608	OTHER	NJ	AETNA HMO #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1104694	OTHER	NJ	HORIZON NJ HEALTH #
7	MES160	OTHER	NJ	OXFORD #

General Provider Information

NPI Number	:	1346246600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN A SAMUEL MD

Provider Business Mailing Address
First Line	:	104 PHEASANT RUN
Second Line	:	SUITE 128
City	:	NEWTOWN
State	:	PA
Zip	:	18940-3439
Country	:	US
Telephone Number	:	215-860-3344
Fax Number	:	215-860-8950

Provider Business Practice Location Address
First Line	:	1 UNION STREET
Second Line	:	SUITE 101
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-4219
Country	:	US
Telephone Number	:	609-890-6677
Fax Number	:	609-585-2520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	05/16/2014

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Directions to “ STEVEN A SAMUEL MD” Practice Location

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