| Doctor Name: | DR. SAMUEL M VENTRELLA |
| NPI Number: | 1114986213 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA06625900 |
| Business Practice Address: | 401 Young Ave Suite 275 Moorestown, NJ - 080573130 |
| Business Phone Number: | 8562918855 |
| Business Fax Number: | 8562918844 |
| Mailing Address: | 7000 Atrium Way, Suite 6 MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080543917 |
| Phone Number: | 8562916818 |
| Fax Number: | 8562916819 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 03/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | 25MA06625900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |