Individual
COTY KALBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1141 MANTUA PIKE, WEST DEPTFORD, NJ 08051-1608
(732) 456-7777
(732) 200-1056
Mailing address
3214 ELLIS DR, GLEN MILLS, PA 19342-3410
(484) 332-0421
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00927900
NJ
Other
Enumeration date
07/12/2016
Last updated
08/06/2025
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