Organization
TOTAL SPECTRUM HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY A BLANCHARD D.O. (OWNER)
(973) 726-3001
Entity
Organization
Contact information
Practice address
171 WOODPORT RD, SPARTA, NJ 07871-2633
(973) 726-3001
(973) 726-3002
Mailing address
171 WOODPORT RD, SPARTA, NJ 07871-2633
(973) 726-3001
(973) 726-3002
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB07388800
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MB07388800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057505PXE
—
NJ
Enumeration date
10/19/2012
Last updated
11/02/2012
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