SAMANTHA MARIE MCCORMACK

MONTCLAIR, NJ
NPI1053188391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ14955300)
Enumeration Date2023-12-06
Last Update Date2024-10-15
Business Address
SAMANTHA MARIE MCCORMACK APN
1 BAY AVE
MONTCLAIR, NJ 07042-4837
Phone number: 973-429-6096
Mailing Address
SAMANTHA MARIE MCCORMACK APN
168 COEYMAN AVE
NUTLEY, NJ 07110-1503
Phone number: 973-930-8655