Provider Demographics
NPI:1922647809
Name:SAGE MIDWIFERY WITH ROXANN MITCHELL, CNM & CINDY REDMOND, CNM LLC
Entity Type:Organization
Organization Name:SAGE MIDWIFERY WITH ROXANN MITCHELL, CNM & CINDY REDMOND, CNM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:REDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:973-713-0724
Mailing Address - Street 1:392 WATTERS RD
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-5704
Mailing Address - Country:US
Mailing Address - Phone:973-713-0724
Mailing Address - Fax:
Practice Address - Street 1:392 WATTERS RD
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-5704
Practice Address - Country:US
Practice Address - Phone:973-713-0724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-25
Last Update Date:2019-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1861617201OtherOB