| Doctor Name: | CORINNE ROCK MALMBERG |
| NPI Number: | 1023054574 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-C |
| License Number: | 26NN064583000 |
| Business Practice Address: | 67 Route 37 W Riverwood Ii Toms River, NJ - 087556400 |
| Business Phone Number: | 7325573530 |
| Business Fax Number: | 7325573540 |
| Mailing Address: | 67 Route 37 W, Riverwood Ii TOMS RIVER |
| State: | NJ |
| Postal Code: | 087556400 |
| Phone Number: | 7325573530 |
| Fax Number: | 7325573540 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 08/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 26NN064583000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |