Provider Demographics
NPI:1205941473
Name:SAMSON, CESAR R (MD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:R
Last Name:SAMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:600 PAVONIA AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2929
Mailing Address - Country:US
Mailing Address - Phone:201-963-5846
Mailing Address - Fax:201-963-8823
Practice Address - Street 1:600 PAVONIA AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2929
Practice Address - Country:US
Practice Address - Phone:201-963-5846
Practice Address - Fax:201-963-8823
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA02442500207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC54874Medicare UPIN