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Contact Information

RUSSELL SAMOFAL, DPM
510 HAMBURG TPKE
SUITE 108
WAYNE, NJ07470
 Phone: 973-925-4111
 Fax: 973-925-7711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RUSSELL SAMOFAL · (Male)

NPI Number 1982968517
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/28/2012
Last updated 04/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MD00323100
Hospital affiliation(s) Not Available
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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