Provider Demographics
NPI:1962552281
Name:AURICHIO, DINA (LM, CPM)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:AURICHIO
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 A LAMINGTON ROAD
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3531
Mailing Address - Country:US
Mailing Address - Phone:908-575-3282
Mailing Address - Fax:908-575-2134
Practice Address - Street 1:212A LAMINGTON RD
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3386
Practice Address - Country:US
Practice Address - Phone:908-575-3282
Practice Address - Fax:908-575-2134
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMW00000500176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife