Individual
DR. DAVID BLADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 PINE ST, MONTCLAIR, NJ 07042-4855
(973) 743-9555
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA49224
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3460606
—
NJ
Enumeration date
02/22/2006
Last updated
08/07/2020
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