Individual
MR. NICHOLAS ANTHONY BLANCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APN-ANESTHESIA
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-6111
Mailing address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-6111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00302900
NJ
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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