Individual
SAMANTHA VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44 ROUTE 23 NORTH, SUITE 213, RIVERDALE, NJ 07457
(973) 571-2121
Mailing address
44 ROUTE 23 NORTH, UNIT 213, RIVERDALE, NJ 07457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00864300
NJ
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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