Organization
MILKBODYSOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HADDAD NP (NURSE PRACTITIONER - OWNER)
(215) 200-9200
Entity
Organization
Contact information
Practice address
629 WILLOW AVE, HOBOKEN, NJ 07030-3911
(215) 200-9200
Mailing address
629 WILLOW AVE, HOBOKEN, NJ 07030-3911
(215) 200-9200
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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