Healthcare Provider Details

I. General information

NPI: 1275742397
Provider Name (Legal Business Name): MARGARET BERRETH CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 FRANKLIN CORNER RD SUITE 214
LAWRENCEVILLE NJ
08648-2526
US

IV. Provider business mailing address

PO BOX 536
VOORHEES NJ
08043-0536
US

V. Phone/Fax

Practice location:
  • Phone: 609-896-1400
  • Fax: 609-896-3986
Mailing address:
  • Phone: 856-669-6050
  • Fax: 856-651-0794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number26NR10179400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: