| Doctor Name: | DR. SAMUEL ABRAM BOBROW |
| NPI Number: | 1124074174 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1624 |
| Business Practice Address: | 100 Heritage Valley Dr Suite 1 Sewell, NJ - 080801752 |
| Business Phone Number: | 8565894147 |
| Business Fax Number: | 8565893805 |
| Mailing Address: | Po Box 8161, TURNERSVILLE |
| State: | NJ |
| Postal Code: | 080128161 |
| Phone Number: | 8565894147 |
| Fax Number: | 8565893805 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 09/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |