Organization
VITA NOVA BIRTHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY NWOGA CD (OWNER)
(267) 225-7194
Entity
Organization
Contact information
Practice address
701 E CATHEDRAL RD # 45-202, PHILADELPHIA, PA 19128-2128
(267) 225-7194
Mailing address
701 E CATHEDRAL RD # 45-202, PHILADELPHIA, PA 19128-2128
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030607060804
—
PA
Enumeration date
09/10/2020
Last updated
09/10/2020
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