Organization
CLARE MEDICAL OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GREENBLATT MD (OWNER)
(201) 684-1616
Entity
Organization
Contact information
Practice address
137 HIGH ST FL 2A, MOUNT HOLLY, NJ 08060-1476
(609) 474-0120
(844) 772-0853
Mailing address
137 HIGH ST FL 2A, MOUNT HOLLY, NJ 08060-1476
(609) 474-0120
(844) 772-0852
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
NJ
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
NJ
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479527
—
NJ
Enumeration date
04/28/2015
Last updated
11/29/2023
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