Individual
STEPHANIE IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
175 MADISON AVE FL 2, MOUNT HOLLY, NJ 08060-2099
(609) 914-6782
(856) 246-9565
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00045801
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185990
—
NJ
Enumeration date
03/18/2008
Last updated
08/07/2024
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