Organization
GAIL M BLUMENTHAL OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL M BLUMENTHAL OD (PRESIDENT)
(201) 894-1400
Entity
Organization
Contact information
Practice address
17 GRAND AVE, ENGLEWOOD, NJ 07631-3508
(201) 894-1400
(201) 894-0220
Mailing address
17 GRAND AVE, ENGLEWOOD, NJ 07631-3508
(201) 894-1400
(201) 894-0220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00395300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224026220
HORIZON BLUE CROSS BLUE SHIELD
NJ
Enumeration date
03/04/2008
Last updated
05/08/2008
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