Samantha Bornhardt
NPI #1134869969 in Deptford, New Jersey
Provider Information
- NPI Number
- 1134869969
- Entity Type
- Individual
- Name
- Samantha Bornhardt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Mar 30, 2022
- Last Updated
- Nov 4, 2022
Practice Location
- Address
- 1410 DELSEA DR
- City
- Deptford
- State
- New Jersey
- ZIP Code
- 08096-4101
- Phone
- (856) 579-8897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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