Healthcare Provider Details

I. General information

NPI: 1043194038
Provider Name (Legal Business Name): TRISHA ANNE HOBAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 E LAUREL RD STE 3500
STRATFORD NJ
08084-1354
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-566-7040
  • Fax: 856-566-6826
Mailing address:
  • Phone: 856-566-7040
  • Fax: 856-566-6826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number202530080
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: