Individual
MRS. MARINA BLOSHTEYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
196 JEWETT AVE, JERSEY CITY, NJ 07304-1804
(201) 833-3000
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NJ00390000
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00390000
NJ
Other
Enumeration date
08/22/2012
Last updated
06/29/2021
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