Provider Demographics
NPI:1528769239
Name:DASCH-GOLDBERG, DANA M (DOULA)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:DASCH-GOLDBERG
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4214
Mailing Address - Country:US
Mailing Address - Phone:718-541-3484
Mailing Address - Fax:
Practice Address - Street 1:215 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4214
Practice Address - Country:US
Practice Address - Phone:718-541-3484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula