NPI 1013426204
Modern Mama
Practice location
- Address
- 21 Aquavia Rd, Medford, MA 02155-1002
- Phone
- (860) 919-5563
- Fax
- (617) 765-7318
Authorised official
- Name
- Kara Lynne Schamell
- Title
- Co-Manager
- Phone
- (860) 919-5563
Registered specialties (2)
Midwife
Primary
Registry record
- NPI
- 1013426204
- Entity type
- Organization
- NPI issued
- 20 Sep 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.