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Individual

SAMANTHA R MINOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 VALLEY ST STE 320, SOUTH ORANGE, NJ 07079-2881
(973) 313-1113
Mailing address
37 MOUNTAIN STREET, APARTMENT 2, WEST ORANGE, NJ 07052
(551) 580-3280

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00659900
NJ

Other

Enumeration date
11/13/2018
Last updated
11/13/2018
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