National Provider Identifier Database

RUSSELL SAMOFAL, DPM – NPI #1982968517
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

RUSSELL SAMOFAL, DPM
510 HAMBURG TPKE
SUITE 108
WAYNE, NJ07470
Phone: 973-925-4111
Fax: 973-925-7711
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for RUSSELL SAMOFAL

NPI Number 1982968517
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/28/2012
Last updated 04/23/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MD00323100
Hospital affiliation n/a

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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