Samuels, Mark
Samuels, Mark is an individual health care provider with primary practice located at 88 Ryders Ln , Stratford CT 06614-1666. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Samuels, Mark can be contacted via phone (203) 378-1566.Contact Information
Primary practice address
88 Ryders Ln
Stratford CT 06614-1666
Phone: (203) 378-1566
Fax: (203) 380-8390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6758 | Connecticut |
Profile Details
| NPI number | 1669593208 |
|---|---|
| LBN Legal business name | Samuels, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Apr 4th, 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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