Individual provider · Type 1 NPI

Samantha Geethi Desilva

Student in an Organized Health Care Education/Training Program · Atlantic City, NJ

NPI number 1124766316 Active

Practice location

1925 Pacific Ave
Atlantic City, NJ 08401-6713

Call (609) 345-4000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XDESI-5XODYW (NC)
Student in an Organized Health Care Education/Training Program Primary 390200000XP23-01055 (NJ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124766316

Samantha Geethi Desilva's National Provider Identifier is 1124766316, issued on May 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlantic City, NJ. The record was last updated on Sep 3, 2024.