Blossom Women'S Care LLC
Clinic/Center in West Caldwell, NJ. Organization (NPI-2).
NPI number1063109239
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1063109239
- Entity type
- Organization (NPI-2)
- Legal business name
- Blossom Women'S Care LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2023
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
10 Tempesta TerWest Caldwell, NJ 07006-6934
Phone 973-641-6412
Mailing address
10 Tempesta TerWest Caldwell, NJ 07006-6934
Phone 973-641-6412
Authorized official
Lauren Wacha
Ceo
9736416412
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