Individual
MRS. KATIE A CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
101 PROSPECT ST, LAKEWOOD, NJ 08701-5020
(732) 942-4442
Mailing address
43 BOWNE AVE, FREEHOLD, NJ 07728-1659
(732) 616-7468
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00038700
NJ
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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