Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 25ME00063800 | NJ |
NPI | 1043711120 |
---|---|
Provider Name | Mrs. Catherine H Hagan |
First Address | Hatboro, PA 19040-1626 |
Second Address | Flemington, NJ 08822-4600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2018 |
Last Update Date | 23/02/2018 |