Davis, Sampson M

Davis, Sampson M is an individual health care provider with primary practice located at 530 New Brunswick Ave , Perth Amboy NJ 08861-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davis, Sampson M can be contacted via phone (732) 442-3700.

Contact Information

Primary practice address
530 New Brunswick Ave Perth Amboy NJ 08861-3674
Phone: (732) 442-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07204500 New Jersey

Profile Details

NPI number 1346242310
LBN Legal business name Davis, Sampson M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jun 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346242310 NPPES
New Jersey Other 34498 UHP-NON PAR
New Jersey MEDICAID 9089209 UHP-NON PAR

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