Individual
DOROTHY BLACKMUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 MCBRIDE AVE, WOODLAND PARK, NJ 07424-3812
(908) 277-8699
(908) 673-7388
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
213348
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA12402500
NJ
Other
Enumeration date
02/02/2006
Last updated
10/14/2024
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