| Organization Name: | MEET UR BABY 3D @ MADELINE'S PLACE, LLC |
| NPI Number: | 1326395989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAIRA SANTIAGO (CEO) |
| Mailing Address: | 808 Seven Bridge Rd E Stroudsburg |
| State: | PA US |
| Postal Code: | 183017942 |
| Phone Number: | 5703698888 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 71843 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |