Itscoitz, Samuel B

Itscoitz, Samuel B is an individual health care provider with primary practice located at 12070 Old Line Ctr Ste 303 , Waldorf MD 20602-3535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Itscoitz, Samuel B can be contacted via phone (301) 645-5100.

Contact Information

Primary practice address
12070 Old Line Ctr Ste 303 Waldorf MD 20602-3535
Phone: (301) 645-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D0005568 Maryland

Profile Details

NPI number 1760587596
LBN Legal business name Itscoitz, Samuel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jan 4th, 2019 - about 5 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 1760587596 NPPES
Other 0787143 AETNA
Other 24324 AETNA
MEDICAID 206411100 AETNA
Other 4086234 AETNA
Other KA62IT AETNA
Other 58030002 AETNA
MEDICAID 779721400 AETNA
Other CM6438 AETNA

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