| 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 |
|---|---|
| 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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