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Individual

SAMANTHA DENISE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5 HIGH RIDGE PARK FL 3, STAMFORD, CT 06905-1326
(203) 869-1145
Mailing address
45 TALMADGE HILL RD, PROSPECT, CT 06712-1724
(203) 232-1071

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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