Modern Mama

NPI #1013426204 in Medford, Massachusetts

Provider Information

NPI Number: 1013426204
Entity Type: Organization
Organization Name: Modern Mama
Primary Specialty: Midwife
Enumeration Date: Sep 20, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 21 AQUAVIA RD
City: Medford
State: Massachusetts
ZIP Code: 02155-1002
Phone: (860) 919-5563

Authorized Official

Name: MRS. KARA LYNNE SCHAMELL, CPM
Title: CO-MANAGER
Phone: (860) 919-5563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X
Midwife	176B00000X	Primary

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