Healthcare Provider Details

I. General information

NPI: 1568708576
Provider Name (Legal Business Name): APRIL ROSENBLUM IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2012
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 CEDAR AVE
PHILADELPHIA PA
19143-1524
US

IV. Provider business mailing address

PO BOX 42543
PHILADELPHIA PA
19101
US

V. Phone/Fax

Practice location:
  • Phone: 267-467-7574
  • Fax:
Mailing address:
  • Phone: 267-467-7574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: