Provider Demographics
NPI:1619583416
Name:MOTHERS AND DAUGHTERS WOMENS CENTER
Entity Type:Organization
Organization Name:MOTHERS AND DAUGHTERS WOMENS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-317-9922
Mailing Address - Street 1:854 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2716
Mailing Address - Country:US
Mailing Address - Phone:908-317-9922
Mailing Address - Fax:908-317-9544
Practice Address - Street 1:854 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2716
Practice Address - Country:US
Practice Address - Phone:908-317-9922
Practice Address - Fax:908-317-9544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty