Individual
DAVID GREENBLATT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 634-5403
(201) 634-5765
Mailing address
1 LETHBRIDGE PLZ, ROUTE 17 NORTH, SUITE #20, MAHWAH, NJ 07430-2126
(201) 684-1616
(201) 684-1661
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA04850800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01907657
—
NY
05
—
0971804
—
NJ
Enumeration date
05/18/2006
Last updated
07/08/2007
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