Organization
BIRTH BUNGALOW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PELUSO IBCLC (PRESIDENT)
(203) 614-9030
Entity
Organization
Contact information
Practice address
1 BROAD ST UNIT 16F, STAMFORD, CT 06901-2334
(203) 614-9030
Mailing address
1 BROAD ST UNIT 16F, STAMFORD, CT 06901-2334
(203) 614-9030
(310) 872-1533
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-24523
CA
176B00000X
Midwife
—
CT
Other
Enumeration date
11/04/2014
Last updated
05/04/2026
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