Healthcare Provider Details

I. General information

NPI: 1427593227
Provider Name (Legal Business Name): BREASTFEEDING RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2017
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 OLD EAGLE SCHOOL RD
WAYNE PA
19087-1708
US

IV. Provider business mailing address

1355 OLD YORK RD
ABINGTON PA
19001-3413
US

V. Phone/Fax

Practice location:
  • Phone: 484-582-6682
  • Fax: 484-582-6682
Mailing address:
  • Phone: 215-886-2433
  • Fax: 215-886-2432

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: COLETTE ACKER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 215-886-2422