Individual
DR. ROBERT ROY BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 SCHANCK RD, STE 302, FREEHOLD, NJ 07728-3068
(732) 577-1999
(732) 845-5356
Mailing address
222 SCHANCK ROAD, STE 302, FREEHOLD, NJ 07728
(732) 577-1999
(732) 845-5356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA04837500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438006
—
NJ
01
—
442489CHK
MEDICARE -MIDDLESEX COUNTY
NJ
Enumeration date
06/15/2005
Last updated
07/06/2010
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