Individual
DR. GREGORY JOSEPH CORAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D. & APN-BC
Contact information
Practice address
40 BEY LEA RD, SUITE B 201, TOMS RIVER, NJ 08753-2900
(732) 240-5544
(732) 240-1180
Mailing address
115 GRAYSON DR, BELLE MEAD, NJ 08502-4932
(908) 581-7403
(908) 281-4443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35S100236700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00061900
NJ
Other
Enumeration date
08/16/2006
Last updated
09/25/2024
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