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Organization

COLLECTIVE MIDWIFERY CARE LLC

Active
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Organization

COLLECTIVE MIDWIFERY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KASEY DIVINE CNM (MIDWIFE, PARTNER)
(201) 230-4464
Entity
Organization

Contact information

Practice address
408 MAIN ST STE 401A, BOONTON, NJ 07005-1732
(201) 230-4464
(866) 715-8797
Mailing address
408 MAIN ST STE 401A, BOONTON, NJ 07005-1732
(866) 715-8797

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
NULL
176B00000X
Midwife
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25ME00075701
BOARD OF MEDICAL EXAMINERS
NJ
01
—
25MW00003700
OFFICE OF CONSUMER AFFAIRS
NJ
Enumeration date
05/11/2022
Last updated
05/11/2022
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