Individual
SAMANTHA RAE BARGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2609
Mailing address
8 LE ROY PL, PARK RIDGE, NJ 07656-1912
(201) 286-0350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00708000
NJ
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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