Individual
MS. PAIGE EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
240 MAXFIELD ST, NEW BEDFORD, MA 02740-5229
(508) 979-8887
Mailing address
240 MAXFIELD ST, NEW BEDFORD, MA 02740-5229
(508) 979-8887
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
01030018
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01030018
C.P.M. NUMBER
—
01
—
Q04746
BCBS PROVIDER NUMBER
MA
Enumeration date
07/03/2007
Last updated
07/08/2007
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