Blacksin, Marcia
Blacksin, Marcia is an individual health care provider with primary practice located at 150 Bergen St Level C, Newark NJ 07103-2496. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Blacksin, Marcia can be contacted via phone (973) 972-5188.Contact Information
Primary practice address
150 Bergen St Level C
Newark NJ 07103-2496
Phone: (973) 972-5188
Fax: (973) 972-2307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA05428600 | New Jersey |
Profile Details
| NPI number | 1457386344 |
|---|---|
| LBN Legal business name | Blacksin, Marcia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 20th, 2009 - about 16 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 | 1457386344 | NPPES |
| New Jersey | MEDICAID | 0640808 |
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