Individual
MS. MARY PATRICIA BREITWIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
101 PROSPECT ST, SUITE 202, LAKEWOOD, NJ 08701-5020
(732) 942-4442
Mailing address
321 EMBERLY RD, BRICK, NJ 08723-6428
(732) 920-8051
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ME000014
NJ
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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