Provider Demographics
NPI:1578953170
Name:BREASTFEEDING HELPER PC
Entity Type:Organization
Organization Name:BREASTFEEDING HELPER PC
Other - Org Name:BREASTFEEDING HELPER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DITTES
Authorized Official - Suffix:
Authorized Official - Credentials:RN IBCLC
Authorized Official - Phone:267-879-5000
Mailing Address - Street 1:17 SHELLFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-1707
Mailing Address - Country:US
Mailing Address - Phone:267-879-5000
Mailing Address - Fax:267-393-4500
Practice Address - Street 1:301 OXFORD VALLEY RD
Practice Address - Street 2:SUITE 1405
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7706
Practice Address - Country:US
Practice Address - Phone:267-879-5000
Practice Address - Fax:267-393-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA256115L163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty