Individual
MR. LINCOLN W. BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-2200
Mailing address
7033 TUSCANY DR, MACUNGIE, PA 18062-8972
(610) 398-2232
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00033400
NJ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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