Individual
MICHAEL BLECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(973) 971-4287
Mailing address
PO BOX 416457, BOSTON, MA 02241-2104
(844) 362-1735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03091600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00853425
—
NY
Enumeration date
05/02/2006
Last updated
05/01/2025
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