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Contact Information

SAMANTHA R GOMAN, PA-C
1 BAY AVE STE 1
MONTCLAIR, NJ07042-4837
 Phone: 201-490-4333
 Fax: 201-490-4334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SAMANTHA R GOMAN · (Female)

NPI Number 1831758598
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/06/2019
Last updated 06/06/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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