Individual
BOBY KOZHUKOTTAYIL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
19 LOHS PL, HARRINGTON PARK, NJ 07640-1041
(862) 812-0606
Mailing address
19 LOHS PL, HARRINGTON PARK, NJ 07640-1041
(862) 812-0606
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15535000
NJ
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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