Individual
SAMANTHA BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
478 BRICK BLVD, BRICK, NJ 08723-6077
(732) 701-4848
Mailing address
121 CLOUSER RD, MECHANICSBURG, PA 17055-9779
(717) 439-3837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00525400
NJ
Other
Enumeration date
04/26/2019
Last updated
07/02/2019
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