SAMANTHA FANOK, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1962040105
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 25MP00788600 (NJ) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 25MP00788600 (NJ) |
Frequently Asked Questions
NPI 1962040105 is the National Provider Identifier for SAMANTHA FANOK, PA-C, a Physician Assistant - Surgical provider located in Manasquan, NJ. This NPI was enumerated on December 18, 2019.
SAMANTHA FANOK, PA-C practices at 2315 ROUTE 34 S, Manasquan, NJ 08736.
Quick Facts
- NPI
- 1962040105
- Type
- Individual
- Enumerated
- Dec 18, 2019
- Last Updated
- Dec 9, 2024
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