Provider Demographics
NPI:1134768658
Name:BRIDAN ENTERPRISES
Entity type:Organization
Organization Name:BRIDAN ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUDUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:908-866-1594
Mailing Address - Street 1:13 LAUREL CT
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3492
Mailing Address - Country:US
Mailing Address - Phone:908-866-1594
Mailing Address - Fax:
Practice Address - Street 1:13 LAUREL CT
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3492
Practice Address - Country:US
Practice Address - Phone:908-866-1594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIDAN ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-01
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty