Individual
DONNA M KOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1857 CABLE DR, TOMS RIVER, NJ 08753-3124
(908) 405-2117
Mailing address
1857 CABLE DR, TOMS RIVER, NJ 08753-3124
(908) 405-2117
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00936000
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00936000
NJ
Other
Enumeration date
07/23/2019
Last updated
04/18/2022
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