Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 25MW00002000 | NJ |
NPI | 1033415542 |
---|---|
Provider Name | Ms. Dahlyt Berezin-Bahr |
First Address | Edison, NJ 08817-3403 |
Second Address | Edison, NJ 08817-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2011 |
Last Update Date | 05/03/2021 |