Provider Demographics
NPI:1427534783
Name:NEW BCGW CORP
Entity Type:Organization
Organization Name:NEW BCGW CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-293-5182
Mailing Address - Street 1:1020 19TH ST NW STE 150
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6103
Mailing Address - Country:US
Mailing Address - Phone:202-293-5182
Mailing Address - Fax:
Practice Address - Street 1:1020 19TH ST NW STE 150
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6103
Practice Address - Country:US
Practice Address - Phone:202-293-5182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BREASTFEEDING OUTREACH FOR GREATER WASHINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty