Blank, Andrew J
Blank, Andrew J is an individual health care provider with primary practice located at 911 Sunset Rd , Burlington NJ 08016-2250. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Blank, Andrew J can be contacted via phone (609) 387-8787.Contact Information
Primary practice address
911 Sunset Rd
Burlington NJ 08016-2250
Phone: (609) 387-8787
Fax: (609) 386-8640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MB54820 | New Jersey |
Profile Details
| NPI number | 1184720542 |
|---|---|
| LBN Legal business name | Blank, Andrew J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1184720542 | NPPES |
| New Jersey | MEDICAID | 1965301 |
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