Provider Demographics
NPI:1427715358
Name:SEFCHEK, MARY ELIZABETH (CD(DONA), LCCE, CLC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:SEFCHEK
Suffix:
Gender:F
Credentials:CD(DONA), LCCE, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AVON BY THE SEA
Mailing Address - State:NJ
Mailing Address - Zip Code:07717-1016
Mailing Address - Country:US
Mailing Address - Phone:201-245-8023
Mailing Address - Fax:
Practice Address - Street 1:410 MAIN ST
Practice Address - Street 2:
Practice Address - City:AVON BY THE SEA
Practice Address - State:NJ
Practice Address - Zip Code:07717-1016
Practice Address - Country:US
Practice Address - Phone:201-245-8023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula