Individual provider · Type 1 NPI

Brandon Samuel

Student in an Organized Health Care Education/Training Program · Englewood, NJ

NPI number 1073441614 Active

Practice location

350 Engle St
Englewood, NJ 07631-1898

Mailing address

4424 Millett St
Philadelphia, PA 19136-2430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073441614

Brandon Samuel's National Provider Identifier is 1073441614, issued on May 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Englewood, NJ. The record was last updated on May 13, 2026.