Individual
MELISSA DISANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
475 ROUTE 70 STE 101, LAKEWOOD, NJ 08701-5897
(732) 349-0485
Mailing address
668 WEST AVE, SEWAREN, NJ 07077-1113
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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