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Individual

BRIAN J BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2211 CHAPEL AVE W STE 401, CHERRY HILL, NJ 08002-2062
(856) 783-2241
(856) 783-2243
Mailing address
2211 CHAPEL AVE W STE 401, CHERRY HILL, NJ 08002-2062
(856) 783-2241
(856) 783-2243

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB09438100
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/01/2011
Last updated
05/25/2020
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