MEDICARE: DEVORA ITA KLUGMAN DOULA

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	3126181	NJ

General Provider Information

NPI Number	:	1407735145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVORA ITA KLUGMAN DOULA

Provider Business Mailing Address
First Line	:	1312 TODD RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-2126
Country	:	US
Telephone Number	:	347-546-9307
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 TODD RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-2126
Country	:	US
Telephone Number	:	347-546-9307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/31/2025

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Directions to “ DEVORA ITA KLUGMAN DOULA” Practice Location

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