Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD445437 | PA |
Y | 2080P0204X | Pediatric Emergency Doctor | MT202152 | PA |
NPI | 1144492554 |
---|---|
Provider Name | Margaret Emily Samuels-Kalow |
First Address | Philadelphia, PA 19104-4399 |
Second Address | Philadelphia, PA 19104-4399 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2008 |
Last Update Date | 09/07/2012 |