Organization
BLOSSOM WOMEN'S CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN WACHA OTR (CEO)
(973) 641-6412
Entity
Organization
Contact information
Practice address
10 TEMPESTA TER, WEST CALDWELL, NJ 07006-6934
(973) 641-6412
Mailing address
10 TEMPESTA TER, WEST CALDWELL, NJ 07006-6934
(973) 641-6412
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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