Individual
SUSANNA MOANA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
250 MAIN ST STE A, MADISON, NJ 07940-2237
(973) 264-4307
Mailing address
1 HILLVIEW TER, MORRISTOWN, NJ 07960-6521
(973) 519-0283
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00077501
NJ
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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