SearchNew Jersey1041C0700X

Samantha Maytidu

NPI 1619521044 · on the registry since 2019 · sole proprietor

Practice

Address
118 Boonton Ave
Kinnelon, NJ 07405
Phone
(973) 838-1881

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey