Individual
DR. RENATO J BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
539 CLIFTON AVE, CLIFTON, NJ 07011-3229
(973) 472-1878
(732) 679-2750
Mailing address
14 MEADOW LN, OLD BRIDGE, NJ 08857-2563
(973) 472-1878
(732) 679-2750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA043897
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5300606
—
NJ
Enumeration date
03/16/2006
Last updated
01/24/2008
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