Individual
JENNIFER PATUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-4275
(973) 754-4298
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-4275
(973) 754-4298
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112683
GHI HMO #
NY
01
—
0126665
GHI PPO #
NY
05
—
02884646
—
NY
01
—
1320071
AETNA HMO #
NY
01
—
389094
MVP #
NY
01
—
6C0008
HEALTHNET #
NY
01
—
7546828
AETNA PPO #
NY
Enumeration date
07/01/2006
Last updated
12/06/2024
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