Individual
DR. BLAISE K. GLODOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
360 E BROAD ST, GIBBSTOWN, NJ 08027-1470
(856) 423-3899
(856) 423-5450
Mailing address
61 LICCIARDELLO DR, WOOLWICH TOWNSHIP, NJ 08085-1819
(856) 241-1585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCO3280
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096200
—
NJ
Enumeration date
02/02/2007
Last updated
10/02/2007
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