Individual
MR. BENJAMIN BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, FOUNTAIN HILL, PA 18015-1000
(484) 526-4000
Mailing address
14 MEADOW LN, OLD BRIDGE, NJ 08857-2563
(732) 754-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ00384300
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN679646
PA
Other
Enumeration date
12/03/2011
Last updated
06/01/2020
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