Individual provider · Type 1 NPI

Courtney Grace Santifort

Medical Physician Assistant · Freehold, NJ

NPI number 1124950720 Active

Practice location

4 Paragon Way
Freehold, NJ 07728-7804

Call (732) 462-9800 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1124950720

Courtney Grace Santifort's National Provider Identifier is 1124950720, issued on May 30, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Freehold, NJ. The record was last updated on May 30, 2026.