Individual
SAMANTHA MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1205 US HIGHWAY 22, PHILLIPSBURG, NJ 08865-4100
(908) 213-2211
Mailing address
6676 RUTHERFORD DR, MACUNGIE, PA 18062-8047
(484) 809-4940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00814400
NJ
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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