Individual
DR. MALCOLM GUY COBLENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 MORRIS AVE, SUITE 304, SPRINGFIELD, NJ 07081-1426
(973) 486-0108
(973) 762-5151
Mailing address
55 MORRIS AVE, SUITE 304, SPRINGFIELD, NJ 07081-1426
(973) 486-0108
(973) 762-5151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03059800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3040305
—
NJ
Enumeration date
03/23/2006
Last updated
05/05/2016
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