Individual
BLAKEMORE ZELDA GENTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7471
Mailing address
6017 FOXHALL FARM RD, CATONSVILLE, MD 21228-5305
(443) 632-8203
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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