Healthcare Provider Details

I. General information

NPI: 1427715358
Provider Name (Legal Business Name): MARY ELIZABETH SEFCHEK CD(DONA), LCCE, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2021
Last Update Date: 11/28/2021
Certification Date: 11/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 MAIN ST
AVON BY THE SEA NJ
07717-1016
US

IV. Provider business mailing address

410 MAIN ST
AVON BY THE SEA NJ
07717-1016
US

V. Phone/Fax

Practice location:
  • Phone: 201-245-8023
  • Fax:
Mailing address:
  • Phone: 201-245-8023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: