Individual
SAMANTHA RAE GOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BAY AVE STE 1, MONTCLAIR, NJ 07042-4837
(201) 490-4333
(201) 490-4334
Mailing address
5 MANOR DR APT 9M, NEWARK, NJ 07106-3288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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