Individual
ANGELICA BHAVANI SAMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
65 RADTKE RD, RANDOLPH, NJ 07869-3812
(201) 937-1311
Mailing address
65 RADTKE RD, RANDOLPH, NJ 07869-3812
(201) 937-1311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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