Sampson, Ruby J
Sampson, Ruby J is an individual health care provider with primary practice located at 106 Valley Street 1St Floor, So Orange NJ 07079. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Sampson, Ruby J can be contacted via phone (973) 313-9300.Contact Information
Primary practice address
106 Valley Street 1St Floor
So Orange NJ 07079
Phone: (973) 313-9300
Fax: (973) 313-2313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 45315 | New Jersey |
Profile Details
| NPI number | 1619982014 |
|---|---|
| LBN Legal business name | Sampson, Ruby J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619982014 | NPPES |
| New Jersey | MEDICAID | 3357805 |
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