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Organization

BLACKWELL DERM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTIN BLACKWELL DO (PHYSICIAN)
(973) 222-2719
Entity
Organization

Contact information

Practice address
136 WOODSIDE AVE, NEWTON, NJ 07860-2313
(973) 300-0222
Mailing address
136 WOODSIDE AVE, NEWTON, NJ 07860-2313

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
02/26/2024
Last updated
02/26/2024
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