Individual
DONALD R DEBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN-BC, ANP-BC
Contact information
Practice address
481 KINDERKAMACK RD, ORADELL, NJ 07649-1519
(201) 599-0101
(201) 599-3131
Mailing address
481 KINDERKAMACK RD, ORADELL, NJ 07649-1519
(201) 599-0101
(201) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00253000
NJ
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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