LISA COSSABOON

BRIDGETON, NJ
NPI1437892981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26Nj01294300)
Enumeration Date2022-04-13
Last Update Date2022-04-13
Business Address
LISA COSSABOON
201 LAUREL HEIGHTS DR
BRIDGETON, NJ 08302-3635
Phone number: 856-455-4800
Mailing Address
LISA COSSABOON
173 LANDING RD
NEWPORT, NJ 08345-2022
Phone number: 856-297-7775