Individual
MS. PAMELA ROSE BLATKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 FELLOWSHIP RD STE 101, MOUNT LAUREL, NJ 08054-3419
(856) 642-2133
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18788300
NJ
163W00000X
Registered Nurse
RN689771
PA
363LF0000X
Family Nurse Practitioner
Primary
26NJ00817900
NJ
363LF0000X
Family Nurse Practitioner
SP018879
PA
Other
Enumeration date
05/17/2018
Last updated
11/29/2023
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