Moazam J Samdani MD Sc

NPI #1912078007 in Watertown, Wisconsin

Provider Information

NPI Number: 1912078007
Entity Type: Organization
Organization Name: Moazam J Samdani MD Sc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 123 HOSPITAL DR
Address 2: #214
City: Watertown
State: Wisconsin
ZIP Code: 53098
Phone: (920) 261-3333

Authorized Official

Name: DR. MOAZAM J SAMDANI, MD
Title: PRESIDENT
Phone: (920) 261-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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