Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 25ME00035701 | NJ |
N | 176B00000X | Midwife | F000925-1 | NY |
NPI | 1053372722 |
---|---|
Provider Name | Anne-Marie Rizkalla |
First Address | Warren, NJ 07059-5605 |
Second Address | Warren, NJ 07059-5605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 28/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1666401 | (05) | NJ |