Healthcare Provider Details

I. General information

NPI: 1730385782
Provider Name (Legal Business Name): PAOLA A ESCOBAR-GORDILLO MSN, MBA-HCM, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOLISTIC OB/GYN LLC 1114 MAIN AVENUE SUITE 6072
CLIFTON NJ
07015-6072
US

IV. Provider business mailing address

1114 MAIN AVENUE SUITE 6072
CLIFTON NJ
07015-6072
US

V. Phone/Fax

Practice location:
  • Phone: 973-747-5217
  • Fax:
Mailing address:
  • Phone: 201-232-8267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: