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Individual

RONALD J BLITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1530 SAINT GEORGES AVE, RAHWAY, NJ 07065-2750
(732) 382-7473
(732) 382-9045
Mailing address
1530 SAINT GEORGES AVE, RAHWAY, NJ 07065-2750
(732) 382-7473
(732) 382-9045

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA02116000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2K5446
HEALTHNET
NJ
01
474A42
WELLCHOICE/ EMPIRE BC/BS
NJ
01
P00091849
RAILROAD MEDICARE
NJ
Enumeration date
10/12/2006
Last updated
07/08/2007
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