Individual provider · Type 1 NPI
Samantha J. Banga, DPM
Foot & Ankle Surgery Podiatrist · Philadelphia, PA
NPI number
1265743603
Active
Practice location
1330 Cottman Ave
Philadelphia, PA 19111-3729
Mailing address
15 Ridgewood Rd
Malvern, PA 19355-9629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC006188 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1265743603
Samantha J. Banga, DPM's National Provider Identifier is 1265743603, issued on Jun 30, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 30, 2015.