Provider Demographics
NPI:1447210661
Name:VROOMAN, SAMUEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:C
Last Name:VROOMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:801 SPRUCE ST
Mailing Address - Street 2:STE. 3E
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5701
Mailing Address - Country:US
Mailing Address - Phone:215-829-8484
Mailing Address - Fax:215-829-8441
Practice Address - Street 1:2240 S 3RD STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3347
Practice Address - Country:US
Practice Address - Phone:215-755-8575
Practice Address - Fax:215-271-8323
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2012-10-24
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Provider Licenses
StateLicense IDTaxonomies
PAMD028687E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B36481Medicare UPIN