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NPI Code Detail

MEDICARE: JOSEPHINE K SAMOLU

MEDICARE:   JOSEPHINE K SAMOLU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner26NJ15472200NJ

General Provider Information

NPI Number : 1801750344
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPHINE K SAMOLU
Provider Business Mailing Address
First Line : 28 HONEYSUCKLE DR
Second Line :
City : MARIETTA
State : PA
Zip : 17547-8500
Country : US
Telephone Number : 609-379-0382
Fax Number :
Provider Business Practice Location Address
First Line : 1760 WHITEHORSE HAMILTON SQUARE RD
Second Line :
City : HAMILTON
State : NJ
Zip : 08690-3535
Country : US
Telephone Number : 609-890-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ JOSEPHINE K SAMOLU ” Practice Location

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