1730385782 NPI number — MS. PAOLA A ESCOBAR MSN, MBA-HCM, CNM

Table of content: MS. PAOLA A ESCOBAR MSN, MBA-HCM, CNM (NPI 1730385782)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730385782 NPI number — MS. PAOLA A ESCOBAR MSN, MBA-HCM, CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESCOBAR
Provider First Name:
PAOLA
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSN, MBA-HCM, CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730385782
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1114 MAIN AVENUE
Provider Second Line Business Mailing Address:
SUITE 6072
Provider Business Mailing Address City Name:
CLIFTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07015-6072
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-232-8267
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOLISTIC OB/GYN LLC
Provider Second Line Business Practice Location Address:
1114 MAIN AVENUE SUITE 6072
Provider Business Practice Location Address City Name:
CLIFTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07015-6072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-747-5217
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)