MEDICARE: THE SHOSHANA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1164380077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SHOSHANA INC

Provider Business Mailing Address
First Line	:	254 CHAPMAN RD STE 208
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-5422
Country	:	US
Telephone Number	:	267-660-6661
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 SAINT ASAPHS RD
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-2408
Country	:	US
Telephone Number	:	267-660-6661
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SPENCER ISEN
Credential	:
Telephone Number	:	267-660-6610

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “THE SHOSHANA INC ” Practice Location

Language	Start Address	Practice Location

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