Shirah Suero, CNM | |
34 Sycamore Ave Ste 2a, Little Silver, NJ 07739-1248 | |
(732) 747-9310 | |
Not Available |
Full Name | Shirah Suero |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 34 Sycamore Ave Ste 2a, Little Silver, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346921939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 25ME00083800 (New Jersey) | Primary |
Entity Name | A Woman's Place Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710906821 PECOS PAC ID: 4688681059 Enrollment ID: O20060309000131 |
Mailing Address | Practice Location Address |
---|---|
Shirah Suero, CNM 130 Seward Ave, Toms River, NJ 08753-6628 Ph: (732) 575-4566 | Shirah Suero, CNM 34 Sycamore Ave Ste 2a, Little Silver, NJ 07739-1248 Ph: (732) 747-9310 |
Lee S Clay, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 34 Sycamore Ave, 2a, Little Silver, NJ 07739 Phone: 732-747-9310 Fax: 732-747-9320 | |
Patricia Mcpeak-larocca, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 34 Sycamore Ave, Suite 2a, Little Silver, NJ 07739 Phone: 732-747-9310 Fax: 732-747-9320 |