Individual
CARLA PIA V SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16 AZALEA LN, CEDAR GROVE, NJ 07009-2313
(201) 993-9922
Mailing address
16 AZALEA LN, CEDAR GROVE, NJ 07009-2313
(201) 993-9922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01369000
NJ
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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