Individual
JEFFREY D BLONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041
(973) 376-0900
(973) 376-0010
Mailing address
120 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041
(973) 376-0900
(973) 376-0010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04044900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084954000
AMERIHEALTH
—
01
—
01000034100
AMERICHOICE
—
05
—
0522406
—
NJ
01
—
P00842996
RR MEDICARE
NJ
Enumeration date
08/30/2006
Last updated
01/23/2014
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