Provider Demographics
NPI:1194427591
Name:SACRED CRADLE BIRTH SERVICES LLC
Entity type:Organization
Organization Name:SACRED CRADLE BIRTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, IBCLC
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:917-293-9874
Mailing Address - Street 1:107 SECOND PL
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3753
Mailing Address - Country:US
Mailing Address - Phone:917-293-9874
Mailing Address - Fax:
Practice Address - Street 1:107 SECOND PL
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3753
Practice Address - Country:US
Practice Address - Phone:917-293-9874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty