Individual
MR. JOHN CARL BLOODGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
170 MORRIS AVE, SUITE B, LONG BRANCH, NJ 07740-8214
(732) 222-7900
Mailing address
16 ACADEMY ST, FARMINGDALE, NJ 07727-1226
(908) 330-5382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00584900
NJ
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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