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Individual

DR. ANDREW SCOTT BLACKSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
(856) 309-7700
(856) 566-8944
Mailing address
1 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
(856) 309-7700
(856) 566-8944

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MB03194000
NJ

Other

Enumeration date
09/21/2011
Last updated
05/01/2018
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