Individual
JOYCE E SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 PROSPECT AVE, HACKENSACK, NJ 07601-2570
(201) 646-1121
(201) 646-1110
Mailing address
385 PROSPECT AVE, HACKENSACK, NJ 07601-2570
(201) 646-1121
(201) 646-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00204200
NJ
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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