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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL FANN

Active Sole Proprietor

MR. SAMUEL FANN is a Podiatric Surgery healthcare provider located in NEPTUNE, New Jersey. NPI 1477173144 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · NEPTUNE, NJ

Registration Details

NPI Number
1477173144
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2020 (6.3256940205082 yrs)
Last Updated
Apr 22, 2020
Sole Proprietor
Yes

Practice Information

Address
214 COTTER AVE
NEPTUNE, NJ, 077533702
Browse NJ providers · Browse ZIP 07753
Phone
7326824272
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in NEPTUNE, NJ

Name Credential NPI
ALTHEA BROWN 1154080950
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.