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1770856718
MARTIN BLACKWELL DO LLC
NEWTON, NJ
NPI
1770856718
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Entity Type
Organization
Authorized Contact
MARTIN BLACKWELL
Owner
973-300-0555
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NJ 25MB05321100)
Enumeration Date
2012-02-22
Last Update Date
2012-04-03
Business Address
MARTIN BLACKWELL DO LLC
136 WOODSIDE AVE
NEWTON, NJ 07860-2313
Phone number: 973-300-0555
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Mailing Address
MARTIN BLACKWELL DO LLC
136 WOODSIDE AVE
NEWTON, NJ 07860-2313
Phone number: 973-300-0555
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