NPI: 1609066471 · SPRINGFIELD, PA 19064 · Foot & Ankle Surgery Podiatrist · NPI assigned 07/27/2007
| Authorized Official | SAMUEL, DAVID (OWNER) |
| NPI Enumeration Date | 07/27/2007 |
Other providers sharing the same authorized official: SAMUEL, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| JDN VISTA LLC | BRIDGEWATER | NJ | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $60.00 |
| 2020 | 46 | $199.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 58 | 57 | $259.25 |