Individual
EDNA SAMSON-BACARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 PEBBLE BEACH DR, EGG HARBOR TOWNSHIP, NJ 08234-7727
(609) 927-0647
(609) 927-0649
Mailing address
44 PEBBLE BEACH DR, EGG HARBOR TOWNSHIP, NJ 08234-7727
(609) 927-0647
(609) 927-0649
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07796600
NJ
Other
Enumeration date
02/28/2007
Last updated
07/17/2014
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