Individual
MRS. SHOBHANA R JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Contact information
Practice address
360 ESSEX ST STE 303, HACKENSACK, NJ 07601
(551) 996-8100
(551) 996-4140
Mailing address
360 ESSEX ST STE 303, HACKENSACK, NJ 07601-8566
(551) 996-8100
(551) 996-4140
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00747900
NJ
Other
Enumeration date
09/29/2017
Last updated
05/24/2019
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