Individual
DR. RANDI BLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
188 PASSAIC ST, PASSAIC, NJ 07055-6455
(201) 983-3894
Mailing address
213 WARWICK LN, LEONIA, NJ 07605-1127
(201) 242-6816
(201) 567-4740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134184144-01
1199
NY
01
—
6231186
UNITEDHEALTHCARE
NY
01
—
P2515999
OXFORD
NY
01
—
X4V901
BCBS
NY
Enumeration date
03/22/2007
Last updated
08/09/2022
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