Provider Demographics
NPI:1114474483
Name:THE VISITING MIDWIFE, PC
Entity Type:Organization
Organization Name:THE VISITING MIDWIFE, PC
Other - Org Name:MIDWIFERY ARTS OF NEW JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF MIDWIFERY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:908-688-7944
Mailing Address - Street 1:402 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-9306
Mailing Address - Country:US
Mailing Address - Phone:908-688-7944
Mailing Address - Fax:
Practice Address - Street 1:402 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-9306
Practice Address - Country:US
Practice Address - Phone:908-688-7944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJME 00045601261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1215193248OtherNPI