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Individual

MARGARET MICHELLE BLACKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7020
(973) 322-7039
Mailing address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7020
(973) 322-7039

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA07666200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02939751
NY
01
193241
NYS LICENSE
NY
Enumeration date
10/03/2006
Last updated
10/17/2023
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