Provider Demographics
NPI:1972619666
Name:SAMET, SHERWOOD L (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERWOOD
Middle Name:L
Last Name:SAMET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:175 E BROWN ST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-3098
Mailing Address - Country:US
Mailing Address - Phone:570-421-3908
Mailing Address - Fax:570-421-5912
Practice Address - Street 1:175 E BROWN ST
Practice Address - Street 2:SUITE 114
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-3098
Practice Address - Country:US
Practice Address - Phone:570-421-3908
Practice Address - Fax:570-421-5912
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD024786L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B32079Medicare UPIN