Individual
CATHY M BLASKEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-3342
Mailing address
151 E GRANT AVE, ROSELLE PARK, NJ 07204-2026
(908) 241-2935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN00011100
NJ
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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