Most Relevant Information
Provider Data
| NPI Number: | 1003290420 |
| Provider Name: | SAMANTHA GOLDKLANG NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 382612 |
Most Important Dates
| Enumeration Date: | 07/15/2015 |
| Last Updated: | 05/04/2016 |
Provider Practice Location
218 JAY ST
WOOD-RIDGE
NJ
07075
Practice Location Phone/Fax
| Phone: | 2012805232 |
| Fax: |
Provider Mailing Location
218 JAY ST
WOOD-RIDGE
NJ
07075
Provider Mailing Phone/Fax
| Phone: | 2012805232 |
| Fax: |