Individual
SAMANTHA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CRAIG PL, FAIRFIELD, NJ 07004-1737
(973) 330-6217
Mailing address
456 CHESTNUT ST STE 102, LAKEWOOD, NJ 08701-6124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15520100
NJ
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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