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DR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC NPI 1255878468


NPI Information

NPI: 1255878468
Provider Name: DR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D2143144

Address:
76 PROSPECT ST
NEWARK, NJ
ZIP 07105
Phone: (973) 333-4480
Get Directions

DR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC is a family medicine in Newark, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC NPI is 1255878468. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

76 PROSPECT ST
NEWARK, NJ
ZIP 07105-881
Phone: (973) 333-4480
Fax: (973) 900-8809

The provider's authorized official is Eduardo Samaniego .
The authorized official title is President and has the following contact phone number (516) 775-8605.

The CLIA number assigned to this NPI record is 31D2143144 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2017 and was last updated on 1/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine25MA08438900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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