Goman, Samantha Rae

Goman, Samantha Rae is an sole proprietor health care provider with primary practice located at 1 Bay Ave Ste 1 , Montclair NJ 07042-4837. 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. Goman, Samantha Rae can be contacted via phone (201) 490-4333.

Contact Information

Primary practice address
1 Bay Ave Ste 1 Montclair NJ 07042-4837
Phone: (201) 490-4333
Fax: (201) 490-4334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1831758598
LBN Legal business name Goman, Samantha Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2019
Last updated Jun 6th, 2019 - about 6 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.

Request for update

Popular Providers