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Individual

TIMOTHY BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
136 WOODSIDE AVE, NEWTON, NJ 07860-2313
(973) 300-0222
Mailing address
136 WOODSIDE AVE, NEWTON, NJ 07860-2313
(973) 300-0222

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB12227900
NJ

Other

Enumeration date
04/20/2021
Last updated
06/12/2025
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