Active NPIIndividual providerSole proprietor

Edna Samson-Bacarro, MD

Specialist in Egg Harbor Township, New Jersey

NPI Number1811024565
Practice location
44 Pebble Beach Dr, Egg Harbor Township, NJ 08234-7727
Fax
609-927-0649
Last updated
July 17, 2014

Edna Samson-Bacarro is a Specialist based in Egg Harbor Township, NJ. Edna Samson-Bacarro practices in Egg Harbor Township, NJ and has the professional credentials of MD. The NPI Number for Edna Samson-Bacarro is 1811024565 and holds a License No. 25MA07796600 (NJ). The current practice location address for Edna Samson-Bacarro is 44 Pebble Beach Dr, Egg Harbor Township, NJ 08234-7727 and can be reached out via phone at 609-927-0647 and via fax at 609-927-0649.

Provider Profile Details

NPI Number
1811024565
Provider Name
Edna Samson-Bacarro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
44 Pebble Beach Dr, Egg Harbor Township, NJ 08234-7727
Phone Number
609-927-0647
Fax Number
609-927-0649
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2007
Last Update Date
July 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Pebble Beach Dr
Egg Harbor Township, NJ 08234-7727
Zip
08234-7727
Phone Number
609-927-0647
Fax Number
609-927-0649
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
44 Pebble Beach Dr
Egg Harbor Township, NJ 08234-7727
City
Egg Harbor Township
State
NJ
Zip
08234-7727
Phone Number
609-927-0647
Fax Number
609-927-0649

License Information

License Number
25MA07796600
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edna Samson-Bacarro, MD?

The NPI number of Edna Samson-Bacarro, MD is 1811024565. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Edna Samson-Bacarro, MD?

Edna Samson-Bacarro, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA07796600.

Where does Edna Samson-Bacarro, MD practice?

The practice location is 44 Pebble Beach Dr, Egg Harbor Township, NJ 08234-7727. The office can be reached at 609-927-0647 (phone) or 609-927-0649 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811024565 directly on the NPPES registry website.

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