Individual
SAMANTHA PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
123 HIGHLAND AVE STE 103, GLEN RIDGE, NJ 07028-1522
(973) 429-8800
(973) 748-7076
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00750600
NJ
Other
Enumeration date
07/29/2021
Last updated
01/30/2025
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