Individual
SAMANTHA BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
710 KRESSON RD, CHERRY HILL, NJ 08003-2604
(856) 795-3320
(856) 795-1213
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 795-3320
(856) 795-1213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB09224400
NJ
208000000X
Pediatrics Physician
OS016691
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
25MB09224400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028913600001
—
PA
Enumeration date
04/05/2010
Last updated
05/05/2023
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