Individual
MARIE ROSE FOBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
128 COLUMBIA TPKE STE 200, FLORHAM PARK, NJ 07932-2283
(973) 736-9535
Mailing address
128 COLUMBIA TPKE STE 200, FLORHAM PARK, NJ 07932-2283
(973) 736-9535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00632500
NJ
Other
Enumeration date
07/26/2021
Last updated
03/14/2022
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