Individual
MALIK N COBB SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
65 BERGEN ST, SUITE GA-230, NEWARK, NJ 07107-3001
(973) 972-9461
(973) 972-6227
Mailing address
10 EASTWOOD DR, EAST WINDSOR, NJ 08520-4745
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00020400
NJ
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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