Individual
JACQUELINE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
150 N FINLEY AVE, BASKING RIDGE, NJ 07920-1686
(908) 340-4609
Mailing address
150 N FINLEY AVE, BASKING RIDGE, NJ 07920-1686
(908) 340-4609
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
25MB07936100
NJ
Other
Enumeration date
01/30/2006
Last updated
12/03/2013
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