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Individual

DR. SAMANTHA RENEE MCCARL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3100 BRUNSWICK PIKE, LAWRENCEVILLE, NJ 08648-2408
(609) 912-0333
Mailing address
30101 PALM CT, LAWRENCEVILLE, NJ 08648-1293
(609) 799-5681

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01175900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
QA011759
LICENSE NUMBER
NJ
Enumeration date
05/16/2006
Last updated
07/08/2007
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