Female

Ms. Mary P. Breitwieser C.N.M.

Advanced Practice Midwife in Lakewood, NJ(View on Map)

Full Name

Ms. Mary Patricia Breitwieser C.N.M.

NPI Number

1598791444

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/23/2006

Specialties

(Taxonomies)

Code

367A00000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

ME000014

Contact
Information

Purpose

Mailing
Location

Address

321 EMBERLY RD
101 PROSPECT ST

City

Brick
Lakewood

State

NJ
NJ

Postal Code

08723-6428
08701-5020

Country

US
US

Telephone Number

(732) 920-8051
(732) 942-4442

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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