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SAMANTHA JEWELL KNOBLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 715-5664
Mailing address
571 W RIVER ST, MILFORD, CT 06461-1952
(203) 715-5664

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11154
CT
363LN0000X
Neonatal Nurse Practitioner
Primary
11154
CT
363LN0005X
Critical Care Neonatal Nurse Practitioner
11154
CT

Other

Enumeration date
08/15/2022
Last updated
08/24/2023
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