Individual
SHIRLEY MCDUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
Mailing address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO06323700
NJ
367A00000X
Advanced Practice Midwife
Primary
25ME00023001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063683258
751 BROADWAY
NJ
01
—
1194996645
444 WILLIAM ST
NJ
01
—
1235300799
37 N DAY
NJ
01
—
1548431091
982 BROAD ST
NJ
01
—
1619148160
516 BERGEN ST
NJ
01
—
1740345693
741 BROADWAY
NJ
01
—
1932370483
101 LUDLOW
NJ
01
—
1972778413
1150 SPRINGFIELD
NJ
05
—
6392105
—
NJ
Enumeration date
06/13/2006
Last updated
06/05/2008
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