Individual
SAMANTHA LYNN MASTROCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
295 W GRAND AVE, MONTVALE, NJ 07645-1805
(201) 252-5000
Mailing address
295 W GRAND AVE, MONTVALE, NJ 07645-1805
(201) 252-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
11/05/2025
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