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Contact Information

BRAD G SAMOJLA, DPM
118 NORTHPORT AVE
BELFAST, ME04915-6009
 Phone: 207-930-2510
 Fax: 207-930-2512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRAD G SAMOJLA · (Male)

NPI # 1124137138
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/30/2006
Last updated 02/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • ME License # POD243
  • ME Medicaid 431723799
Hospital affiliation(s)
  • WALDO COUNTY GENERAL HOSPITAL - (Critical Access)
    PO BOX 287
    BELFAST, ME 04915
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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