Individual
JOANNE R SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W ATLANTIC AVE, HADDON HEIGHTS, NJ 08035-1715
(856) 547-0539
(856) 547-3178
Mailing address
120 WHITE HORSE PIKE, SUITE 112, HADDON HEIGHTS, NJ 08035-1927
(856) 547-0539
(856) 547-3178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NC06760200
NJ
Other
Enumeration date
05/17/2006
Last updated
10/31/2007
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