Individual
SAMANTHA JULIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 EXECUTIVE DR, TINTON FALLS, NJ 07701-4933
(732) 212-1991
Mailing address
1 EXECUTIVE DR, TINTON FALLS, NJ 07701-4933
(732) 212-1991
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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