Individual
GURVAN E. BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 KUSER RD, HAMILTON, NJ 08691
(609) 585-8800
(609) 585-1825
Mailing address
3625 QUAKERBRIDGE ROAD, HAMILTON, NJ 08619
(609) 689-1600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA08730800
NJ
2085R0202X
Diagnostic Radiology Physician
MD439456
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA08730800
NJ
2085R0204X
Vascular & Interventional Radiology Physician
MD439456
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227579
—
NJ
05
—
102448287
—
PA
Enumeration date
12/14/2006
Last updated
03/08/2021
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