Provider Demographics
NPI:1184297335
Name:OSMANOVSKI, AMELA (LACTATION CONSULTANT)
Entity type:Individual
Prefix:
First Name:AMELA
Middle Name:
Last Name:OSMANOVSKI
Suffix:
Gender:F
Credentials:LACTATION CONSULTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 RYERSON RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1124
Mailing Address - Country:US
Mailing Address - Phone:862-377-5243
Mailing Address - Fax:
Practice Address - Street 1:180 RYERSON RD
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:NJ
Practice Address - Zip Code:07035-1124
Practice Address - Country:US
Practice Address - Phone:862-377-5243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12341300163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant