Healthcare Provider Details

I. General information

NPI: 1902865298
Provider Name (Legal Business Name): GENTLE BEGINNINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

389 HARDING HWY SUITE 6
ELMER NJ
08318-2050
US

IV. Provider business mailing address

PO BOX 558 389 HARDING HWY, SUITE 6
ELMER NJ
08318-0558
US

V. Phone/Fax

Practice location:
  • Phone: 856-358-1100
  • Fax: 856-358-1313
Mailing address:
  • Phone: 856-358-1100
  • Fax: 856-358-1313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number26NO09537400
License Number StateNJ

VIII. Authorized Official

Name: KAREN M SHIELDS
Title or Position: PRESIDENT
Credential: C.N.M
Phone: 856-358-1100