Individual
VIRGINIA AHEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
123 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901-2411
(732) 745-7455
Mailing address
123 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901-2411
(732) 745-7455
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25MW00000300
NJ
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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