| NPI | 1376721373 |
|---|---|
| Other Name | DR. MARTIN BLACKWELL |
| Entity Type | Organization |
| Authorized Contact | MARTIN BLACKWELL Physician 973-300-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MB05321100) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-11-12 |