Individual
DR. BARRY M BLITZSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
219 TWIN LAKES DR, MANTUA, NJ 08051-1666
(856) 468-5635
Mailing address
219 TWIN LAKES DR, MANTUA, NJ 08051-1666
(856) 468-5635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D100843200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221852645000
FEDERAL IDENTIFICATION NO
—
Enumeration date
06/01/2007
Last updated
07/08/2007
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