Individual
GINA BLAHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2633
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4920
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NR10189400
NJ
363LA2100X
Acute Care Nurse Practitioner
SP016934
PA
Other
Enumeration date
09/08/2016
Last updated
02/01/2022
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