Healthcare Provider Details

I. General information

NPI: 1538071089
Provider Name (Legal Business Name): BREAST ASSURED LACTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 DARTMOUTH AVE FL 1
SWARTHMORE PA
19081-1533
US

IV. Provider business mailing address

5 DARTMOUTH CIR
SWARTHMORE PA
19081-1623
US

V. Phone/Fax

Practice location:
  • Phone: 267-974-4866
  • Fax:
Mailing address:
  • Phone: 267-974-4866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: ALLISON JULIE GARFINKEL
Title or Position: OWNER, NURSE, LACTATION CONSULTANT
Credential: RN, IBCLC
Phone: 267-974-4866