Healthcare Provider Details

I. General information

NPI: 1497189815
Provider Name (Legal Business Name): NEWBORNMOM BREASTFEEDING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 NORTHFIELD AVE
WEST ORANGE NJ
07052-1102
US

IV. Provider business mailing address

38 STONEWYCK DR
CHATHAM NJ
07928-1322
US

V. Phone/Fax

Practice location:
  • Phone: 973-740-0400
  • Fax:
Mailing address:
  • Phone: 973-740-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: MS. DAWN CEDRONE
Title or Position: OWNER
Credential: RN,MSN,IBCLC
Phone: 973-740-0400