Ms. SAMANTHA BUSSANICH PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1265808018- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1140 ROUTE 72 W, MANAHAWKIN, NJ, 080502412
- Phone
- (609) 597-6011
Specialties & Taxonomies
Physician Assistant, Medical
License: DC #PA031169
Physician Assistant
Primary License: NJ #25MP00599300
All Addresses
MAILING
331 NEWMAN SPRINGS RD BLDG 2, STE 220
RED BANK, NJ, 077015688