Provider Demographics
NPI:1295031763
Name:M.A.M.A.S., INC
Entity Type:Organization
Organization Name:M.A.M.A.S., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:MAIRI
Authorized Official - Middle Name:BREEN
Authorized Official - Last Name:ROTHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, MSN
Authorized Official - Phone:301-674-9976
Mailing Address - Street 1:7301 GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6417
Mailing Address - Country:US
Mailing Address - Phone:301-674-9976
Mailing Address - Fax:301-920-1107
Practice Address - Street 1:7301 GARLAND AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6417
Practice Address - Country:US
Practice Address - Phone:301-674-9976
Practice Address - Fax:301-920-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN116458367A00000X
DCRN59212367A00000X
MDR104016367A00000X
DCRN966801367A00000X
VA0024166471367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty