Individual
JESSICA DEBLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 STATE ROUTE 27, NORTH BRUNSWICK, NJ 08902-1300
(732) 940-5511
(732) 940-0530
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(732) 940-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00646200
NJ
Other
Enumeration date
08/26/2021
Last updated
02/22/2023
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