Organization
COLLECTIVE MIDWIFERY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASEY DIVINE CNM (MIDWIFE, PARTNER)
(201) 230-4464
Entity
Organization
Contact information
Practice address
408 MAIN ST STE 401A, BOONTON, NJ 07005-1732
(201) 230-4464
(866) 715-8797
Mailing address
408 MAIN ST STE 401A, BOONTON, NJ 07005-1732
(866) 715-8797
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25ME00075701
BOARD OF MEDICAL EXAMINERS
NJ
01
—
25MW00003700
OFFICE OF CONSUMER AFFAIRS
NJ
Enumeration date
05/11/2022
Last updated
05/11/2022
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