Fanok, Samantha N

Fanok, Samantha N is an individual health care provider with primary practice located at 2315 Route 34 S , Manasquan NJ 08736-1444. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fanok, Samantha N can be contacted via phone (732) 974-0404.

Contact Information

Primary practice address
2315 Route 34 S Manasquan NJ 08736-1444
Phone: (732) 974-0404
Fax: (732) 449-4271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00788600 New Jersey

Profile Details

NPI number 1962040105
LBN Legal business name Fanok, Samantha N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2019
Last updated May 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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