Individual
MRS. AMY DERICKS LOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1945 RTE 33, CARDIAC SURGERY, NEPTUNE, NJ 07753-4859
(732) 776-4622
Mailing address
41 STANFORD DR, HAZLET, NJ 07730-2313
(858) 752-2826
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00174700
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00174700
NJ
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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