Individual
ELAINE K DIEGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-4298
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4390
(973) 324-5227
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25M00002001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124901
—
NJ
Enumeration date
03/31/2006
Last updated
02/17/2015
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