Individual
MR. DANIEL BLAUSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08458000
NJ
207RN0300X
Nephrology Physician
194115
NY
207RN0300X
Nephrology Physician
Primary
25MA08458000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01683045
—
NY
01
—
390004364
MEDICARE RAILROAD
NY
Enumeration date
07/18/2006
Last updated
05/13/2024
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