Individual provider · Type 1 NPI
Shaun D. Samuelson, MD
Body Imaging Physician · Portland, ME
NPI number
1669540506
Active
Practice location
22 Bramhall St
Portland, ME 04102-3134
Fax (207) 662-7066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | EC-06-1087 (ME) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1669540506
Shaun D. Samuelson, MD's National Provider Identifier is 1669540506, issued on Nov 30, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.