NPI 1477173144

Samuel Fann

Practitioner Attendant Care Provider Neptune, NJ

Practice location

Address: 214 Cotter Ave, Neptune, NJ 07753-3702
Phone: (732) 682-4272

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1477173144
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2020
Record last updated: 22 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.