Individual
STEPHANIE J COBOS PROANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(908) 875-7139
Mailing address
336 WASHINGTON AVE, UNION, NJ 07083-7824
(908) 875-7139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15248300
NJ
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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