Individual
KENNETH ROBERT BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5306
(973) 831-5305
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA06871100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7930500
—
NJ
Enumeration date
06/29/2006
Last updated
08/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us