Organization
MOMMY & BABY WELLNESS PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOUISE DOYLE RN (REGISTERED NURSE)
(201) 468-2245
Entity
Organization
Contact information
Practice address
11 CLARK CIR, SOUTH DENNIS, MA 02660-2508
(201) 468-2245
Mailing address
11 CLARK CIR, SOUTH DENNIS, MA 02660-2508
(201) 468-2245
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
RN2276431
MA
261QM2500X
Medical Specialty Clinic/Center
RN2276431
MA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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