Rae, Sam

Rae, Sam is an individual health care provider with primary practice located at 342 Hamburg Tpke Ste 201, Wayne NJ 07470-2162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rae, Sam can be contacted via phone (973) 389-1119.

Contact Information

Primary practice address
342 Hamburg Tpke Ste 201 Wayne NJ 07470-2162
Fax: (973) 389-1145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA06232900 New Jersey

Profile Details

NPI number 1649277294
LBN Legal business name Rae, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Aug 5th, 2010 - about 14 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 1649277294 NPPES
New Jersey MEDICAID 7163207

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