MARTIN BLACKWELL DO LLC

NEWTON, NJ
NPI1770856718
Entity TypeOrganization
Authorized ContactMARTIN BLACKWELL
Owner
973-300-0555
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NJ  25MB05321100)
Enumeration Date2012-02-22
Last Update Date2012-04-03
Business Address
MARTIN BLACKWELL DO LLC
136 WOODSIDE AVE
NEWTON, NJ 07860-2313
Phone number: 973-300-0555
Mailing Address
MARTIN BLACKWELL DO LLC
136 WOODSIDE AVE
NEWTON, NJ 07860-2313
Phone number: 973-300-0555
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