Samuel Maryles
Emergency Physician
365 Montauk Ave
New London
, Connecticut 06320-4700
Samuel Maryles
Emergency Physician
365 Montauk Ave
New London
, Connecticut 06320-4700
(330) 493-8677
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Samuel Maryles
- 4535 Dressler Rd Nw
- Canton, OH
- Zip : 44718-2545
- Fax : (330) 493-8677
- Phone : (330) 493-4443
Second Address
- Samuel Maryles
- 365 Montauk Ave
- New London, CT
- Zip : 06320-4700
- Fax : (330) 493-8677
- Phone : (330) 493-4443
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 04242 | CT |
National Provider Identifier
| NPI | 1013064591 |
|---|---|
| Provider Name | Samuel Maryles |
| First Address | Canton, OH 44718-2545 |
| Second Address | New London, CT 06320-4700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.