Individual
COLLEEN MARY ROBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3714
(856) 679-0537
Mailing address
161 BARTLEY RD, JACKSON, NJ 08527-1241
(732) 363-6140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00593800
NJ
Other
Enumeration date
05/11/2020
Last updated
08/14/2025
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