Individual
KATHLEEN M PORSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1100 ROUTE 72 W, SUITE 305, MANAHAWKIN, NJ 08050-2468
(609) 978-9841
(609) 978-9843
Mailing address
1100 ROUTE 72 W, SUITE 305, MANAHAWKIN, NJ 08050-2468
(609) 978-9841
(609) 978-9843
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25ME00032601
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8923205
—
NJ
Enumeration date
03/10/2006
Last updated
11/23/2010
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