Provider Demographics
NPI:1477306868
Name:SAMER SAIEDY MD PA
Entity Type:Organization
Organization Name:SAMER SAIEDY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-761-6570
Mailing Address - Street 1:110 OLD PADONIA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-4949
Mailing Address - Country:US
Mailing Address - Phone:443-761-6570
Mailing Address - Fax:410-337-5134
Practice Address - Street 1:1124 MACE AVE
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-3315
Practice Address - Country:US
Practice Address - Phone:410-391-9855
Practice Address - Fax:410-391-9895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty