Search › New Jersey › 363AS0400X
Samantha Fanok, PA-C
NPI 1962040105 · on the registry since 2019
Practice
- Address
- 2315 Route 34 S
Manasquan, NJ 08736 - Phone
- (732) 974-0404
- Fax
- (732) 449-4271
- Organisation at this address
- Orthopaedic Spine Institute, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey