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Samuel Thalathoti, DO
Student in an Organized Health Care Education/Training Program in Stratford, New Jersey
NPI 1801478094

Samuel Thalathoti is a Student in an Organized Health Care Education/Training Program based in Stratford, NJ. Samuel Thalathoti practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for Samuel Thalathoti is 1801478094 and holds a License No. (New Jersey).

The current practice location address for Samuel Thalathoti is 18 E Laurel Rd, Stratford, NJ and can be reached out via phone at 856-346-6000.

Location: 18 E Laurel Rd, Stratford, NJ, 08084-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801478094
Provider Name
Samuel Thalathoti
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
18 E Laurel Rd, Stratford, NJ, 08084-1327
Phone Number
856-346-6000
Fax Number
Provider Enumeration Date
04/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18 E Laurel Rd
City
Stratford
State
New Jersey
Zip
08084-1327
Phone Number
856-346-6000
Fax Number
person
Provider Business Mailing Address Details
Address
18 E Laurel Rd
City
Stratford
State
New Jersey
Zip
08084-1327
Phone Number
856-346-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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