Provider Demographics
NPI:1871100560
Name:OXYTOCIN ENTERPRISES LLC
Entity type:Organization
Organization Name:OXYTOCIN ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KOWAL
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:973-493-2632
Mailing Address - Street 1:33 PLYMOUTH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2677
Mailing Address - Country:US
Mailing Address - Phone:973-493-2632
Mailing Address - Fax:973-658-6604
Practice Address - Street 1:33 PLYMOUTH ST STE 301
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2677
Practice Address - Country:US
Practice Address - Phone:973-493-2632
Practice Address - Fax:973-658-6604
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OXYTOCIN ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty