Provider Demographics
NPI:1932466703
Name:ELDAIEF, SAMIR FAHIM (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:FAHIM
Last Name:ELDAIEF
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Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:GWYNEDD VALLEY
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19437
Mailing Address - Country:US
Mailing Address - Phone:215-643-4029
Mailing Address - Fax:215-643-4029
Practice Address - Street 1:900 WHARTON CIRCLE
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002
Practice Address - Country:US
Practice Address - Phone:215-643-4029
Practice Address - Fax:215-643-4029
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
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Provider Licenses
StateLicense IDTaxonomies
PAMD030-778-L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery