Individual
BLAISE MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 OVERLOOK RD, SUITE 311, SUMMIT, NJ 07901-3570
(980) 598-1500
(908) 598-0197
Mailing address
PO BOX 48078, NEWARK, NJ 07101-4878
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08102900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119075
—
NJ
Enumeration date
09/20/2006
Last updated
01/22/2008
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