Individual provider · NPI-1

Dr. Gregory Joseph Coram, Psy.D. & APN-BC

Nurse Practitioner, Psych/Mental Health · Toms River, NJ

NPI number1548373384

StatusActive

Last updated in NPPESSep 25, 2024

Details

NPI: 1548373384
Entity type: Individual (NPI-1)
Name: Dr. Gregory Joseph Coram
Credential: Psy.D. & APN-BC
Sex: Male
Sole proprietor: Yes
Enumeration date: Aug 16, 2006
Certification date: Sep 25, 2024
Last updated: Sep 25, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	26NJ00061900	NJ	Yes
103TC0700X	Psychologist, Clinical	35S100236700	NJ

Practice location

40 Bey Lea Rd
Suite B 201
Toms River, NJ 08753-2900

Phone 732-240-5544 · Fax 732-240-1180

Mailing address

115 Grayson Dr
Belle Mead, NJ 08502-4932

Phone 908-581-7403 · Fax 908-281-4443

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