Samuels, Fania

Samuels, Fania is an individual health care provider with primary practice located at 10160 Bustleton Ave Suite C, Philadelphia PA 19116-3749. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Samuels, Fania can be contacted via phone (215) 671-3920.

Contact Information

Primary practice address
10160 Bustleton Ave Suite C Philadelphia PA 19116-3749
Fax: (215) 671-3939
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD042597E Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD042597E Pennsylvania

Profile Details

NPI number 1255305017
LBN Legal business name Samuels, Fania
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jan 17th, 2014 - about 10 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 1255305017 NPPES
Pennsylvania Other 0833050000 KEYSTONE IBC
Pennsylvania Other 30133381 KEYSTONE IBC
Pennsylvania Other 8692853 KEYSTONE IBC
Pennsylvania MEDICAID 0015494060015 KEYSTONE IBC
Pennsylvania Other 806944 KEYSTONE IBC
Pennsylvania MEDICAID 001549406 KEYSTONE IBC

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