Samantha Colon Llc | |
31 La Valley Dr Manalapan NJ 07726-8040 | |
(732) 801-8312 | |
Not Available |
Full Name | Samantha Colon Llc |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 31 La Valley Dr, Manalapan, New Jersey |
Authorized Official Name and Position | Samantha Colon (APN) |
Authorized Official Contact | 7328018312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Samantha Colon Llc 31 La Valley Dr Manalapan NJ 07726-8040 Ph: (732) 801-8312 | Samantha Colon Llc 31 La Valley Dr Manalapan NJ 07726-8040 Ph: (732) 801-8312 |
NPI Number | 1104508779 |
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Provider Enumeration Date | 08/03/2023 |
Last Update Date | 08/03/2023 |
Certification Date | 08/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104508779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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