Individual
JEFFREY GREENBLATT FEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7650 RIVER RD STE 300, NORTH BERGEN, NJ 07047-6527
(201) 224-8831
Mailing address
33 BAYSIDE DR, GREAT NECK, NY 11023-2024
(516) 220-2337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB10647600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
09/09/2019
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