Provider Demographics
NPI:1700201332
Name:WELDLER, MALKA (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:MALKA
Middle Name:
Last Name:WELDLER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3163
Mailing Address - Country:US
Mailing Address - Phone:718-916-2437
Mailing Address - Fax:
Practice Address - Street 1:210 S LAKE DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3163
Practice Address - Country:US
Practice Address - Phone:718-916-2437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2017-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN