Provider Demographics
NPI:1780720953
Name:SOBOTI, ANN ROBIN (RPH)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:ROBIN
Last Name:SOBOTI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MUNCY DR
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1101
Mailing Address - Country:US
Mailing Address - Phone:732-870-9076
Mailing Address - Fax:
Practice Address - Street 1:166 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2204
Practice Address - Country:US
Practice Address - Phone:908-253-9001
Practice Address - Fax:908-253-9002
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJR15423183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist