Healthcare Provider Details

I. General information

NPI: 1780804773
Provider Name (Legal Business Name): MIDWIFERY CARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 11/24/2021
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 TREE FARM RD SUITE A110
PENNINGTON NJ
08534
US

IV. Provider business mailing address

2 TREE FARM RD SUITE A110
PENNINGTON NJ
08534
US

V. Phone/Fax

Practice location:
  • Phone: 609-737-7512
  • Fax: 609-737-0978
Mailing address:
  • Phone: 609-737-7512
  • Fax: 609-737-0978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number26ME00014501
License Number StateNJ

VIII. Authorized Official

Name: PAMELA E ROSSER
Title or Position: PRESIDENT
Credential: CNM
Phone: 609-737-7512