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MR. SAMUEL DISSTON ALLEN MD

>> Urology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1598066284

Individual Registrant:
MR. SAMUEL DISSTON ALLEN MD
Gender: M
Sole Proprietor

Location and contact information for practice:
523 GUINEVERE DR  NEW TOWN SQUARE, PA 19073 US
Tel: 610-356-7157  Fax: --

Contact information for business:
523 GUINEVERE DR  NEW TOWN SQUARE, PA 19073 US
Tel: 610-356-7157  Fax: --

Registration Information:
NPI: 1598066284
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208800000XAllopathic & Osteopathic Physicians
Urology
PAMD00799E

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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