Provider Demographics
NPI:1053355255
Name:LOUIE, SAMUEL (MD)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:LOUIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:535 E CRESCENT AVE
Mailing Address - Street 2:C/O HISTOPATHOLOGY SERVICES, LLC
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2922
Mailing Address - Country:US
Mailing Address - Phone:201-661-7280
Mailing Address - Fax:201-661-7297
Practice Address - Street 1:707 E MAIN ST
Practice Address - Street 2:ORANGE REGIONAL MEDICAL CENTER
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2650
Practice Address - Country:US
Practice Address - Phone:845-333-0089
Practice Address - Fax:201-661-7297
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-04-22
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Provider Licenses
StateLicense IDTaxonomies
NY137846207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD91515Medicare UPIN
NY48E351Medicare ID - Type Unspecified