Individual
BRIAN KEITH BLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
40 ROBERT PITT DR, MONSEY, NY 10952-3333
(201) 753-8989
Mailing address
40 ROBERT PITT DR, MONSEY, NY 10952-3333
(201) 753-8989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00001400
NJ
Other
Enumeration date
05/07/2009
Last updated
05/11/2012
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