Organization
THE MODERN WOMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA BLACKBURN DO (PHYSICIAN, OWNER)
(215) 873-9759
Entity
Organization
Contact information
Practice address
55 N GILBERT ST STE 1204, TINTON FALLS, NJ 07701-4955
(732) 808-3288
(215) 310-5457
Mailing address
55 N GILBERT ST STE 1204, TINTON FALLS, NJ 07701-4955
(732) 808-3288
(215) 310-5457
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/18/2026
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