Blackman, Gurvan E.
Blackman, Gurvan E. is an individual health care provider with primary practice located at 2501 Kuser Rd , Hamilton NJ 08691. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Blackman, Gurvan E. can be contacted via phone (609) 585-8800.Contact Information
Primary practice address
2501 Kuser Rd
Hamilton NJ 08691
Phone: (609) 585-8800
Fax: (609) 585-1825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD439456 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA08730800 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD439456 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25MA08730800 | New Jersey |
Profile Details
| NPI number | 1215099833 |
|---|---|
| LBN Legal business name | Blackman, Gurvan E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Mar 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215099833 | NPPES |
| Pennsylvania | MEDICAID | 102448287 | |
| Pennsylvania | MEDICAID | 0227579 |
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