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SAMANTHA ELLEN COLLAZO MD NPI 1588161293


NPI Information

NPI: 1588161293
Provider Name: SAMANTHA ELLEN COLLAZO, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
101 BURRS RD STE A&B
WESTAMPTON, NJ
ZIP 08060
Phone: (609) 261-0240
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Samantha Ellen Collazo, MD is an obstetrics gynecology in Westampton, NJ with 6 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Samantha Ellen Collazo, MD NPI is 1588161293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Graduation Year:2018

The provider's business location address is:

101 BURRS RD STE A&B
WESTAMPTON, NJ
ZIP 08060-517
Phone: (609) 261-0240

The NPI 1588161293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2018 and was last updated on 9/14/2022.


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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207V00000XObstetrics & Gynecology25MA11395800NEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.