| Doctor Name: | MRS. AMY DERICKS LOBER |
| NPI Number: | 1104070135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00174700 |
| Business Practice Address: | 1945 Rte 33 Cardiac Surgery Neptune, NJ - 077534859 |
| Business Phone Number: | 7327764622 |
| Business Fax Number: | |
| Mailing Address: | 41 Stanford Dr, HAZLET |
| State: | NJ |
| Postal Code: | 077302313 |
| Phone Number: | 8587522826 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2008 |
| NPI Last Update Date: | 11/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00174700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |