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Individual

DR. DENNIS L BLONDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
28 THROCKMORTON LANE, OLD BRIDGE, NJ 08857
(732) 679-6100
(732) 679-6703
Mailing address
28 THROCKMORTON LANE, OLD BRIDGE, NJ 08857
(732) 679-6100
(732) 679-6703

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA032040
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0232008
NJ
Enumeration date
09/11/2006
Last updated
07/20/2010
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