Individual
DR. FREDERICK MICHAEL BLASZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
654 E JERSEY ST, ELIZABETH, NJ 07206-1261
(908) 994-0120
(908) 994-0131
Mailing address
611 EVERGREEN PKWY, UNION, NJ 07083-8703
(908) 994-0120
(908) 994-0131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02971300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA02971300
MEDICAL LICENSE
NJ
Enumeration date
08/14/2006
Last updated
07/21/2022
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