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SAMANTHA CARDOSO NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1619427929

Individual Registrant:
 SAMANTHA  CARDOSO NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
55 FOGG RD  SOUTH WEYMOUTH, MA 02190-2432 US
Tel: 781-624-8000  Fax: --

Contact information for business:
15 EPHRAIM DR  MANSFIELD, MA 02048-3239 US
Tel: 781-706-6172  Fax: --

Registration Information:
NPI: 1619427929
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MARN2272628

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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