Provider Demographics
NPI:1407977556
Name:BAKER, MARILYN (CNM)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-631-6899
Mailing Address - Fax:609-631-6898
Practice Address - Street 1:2560 KNIGHTS RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3407
Practice Address - Country:US
Practice Address - Phone:215-245-4334
Practice Address - Fax:215-245-7856
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25ME00011801367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife