Individual
SAMANTHA ANN HOLZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
3 FARMSTEAD LN, FARMINGTON, CT 06032-2819
(860) 402-2331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2942
CT
363AM0700X
Medical Physician Assistant
2942
CT
Other
Enumeration date
08/02/2013
Last updated
02/02/2018
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