Provider Demographics
NPI:1538753108
Name:BREAST FIT
Entity type:Organization
Organization Name:BREAST FIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L/CHT/CLT
Authorized Official - Phone:201-259-7037
Mailing Address - Street 1:99 KINDERKAMACK RD STE 211
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3020
Mailing Address - Country:US
Mailing Address - Phone:201-497-6175
Mailing Address - Fax:201-497-6321
Practice Address - Street 1:99 KINDERKAMACK RD STE 211
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3020
Practice Address - Country:US
Practice Address - Phone:201-497-6175
Practice Address - Fax:201-497-6321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy FitterGroup - Single Specialty