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NPI Code Detail

MEDICARE: SHAWN L SKLAR-REITMAN CNM

MEDICARE: SHAWN L SKLAR-REITMAN CNM
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
1367A00000XAdvanced Practice Midwife25ME00041000NJ

General Provider Information

NPI Number : 1164741823
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN L SKLAR-REITMAN CNM
Provider Business Mailing Address
First Line : 1973 SPRINGFIELD AVE
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3447
Country : US
Telephone Number : 973-313-2501
Fax Number : 973-313-2505
Provider Business Practice Location Address
First Line : 1973 SPRINGFIELD AVE
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3447
Country : US
Telephone Number : 973-313-2501
Fax Number : 973-313-2505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2010
Last Update Date : 01/26/2023

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