MEDICARE: MRS. MARJORIE PERKINS CNM, MSN

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	367A00000X	Advanced Practice Midwife	25ME00004801	NJ

General Provider Information

NPI Number	:	1922213826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARJORIE PERKINS CNM, MSN

Provider Business Mailing Address
First Line	:	38 GLASGOW RD
Second Line	:
City	:	WILLIAMSTOWN
State	:	NJ
Zip	:	08094-2945
Country	:	US
Telephone Number	:	856-629-4423
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 ENGLISH CREEK AVE
Second Line	:	STE 214
City	:	EGG HARBOR TWP
State	:	NJ
Zip	:	08234-5549
Country	:	US
Telephone Number	:	609-677-7211
Fax Number	:	609-677-7210

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	03/28/2008

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