Individual
SAMANTHA LEE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 W RIDGEWOOD AVE STE 302, PARAMUS, NJ 07652-2361
(201) 975-5363
Mailing address
149 MAIN ST APT 314, HACKENSACK, NJ 07601-7371
(201) 723-0969
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15081200
NJ
Other
Enumeration date
06/10/2024
Last updated
07/29/2024
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