# MOMMY & BABY WELLNESS PATH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013395284
- **Authorized official:** MARY LOUISE DOYLE RN (REGISTERED NURSE)
- **Authorized official phone:** (201) 468-2245

## Contact information

- **Practice address:** 11 CLARK CIR, SOUTH DENNIS, MA 02660-2508
- **Practice address phone:** (201) 468-2245
- **Mailing address:** 11 CLARK CIR, SOUTH DENNIS, MA 02660-2508
- **Mailing address phone:** (201) 468-2245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | RN2276431 | MA | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | RN2276431 | MA | — |

## Other

- **Enumeration date:** 05/08/2015
- **Last updated:** 05/08/2015
