Blitz, Lawrence

Blitz, Lawrence is an individual health care provider with primary practice located at 1777 Hamburg Tpke Suite 102, Wayne NJ 07470-5211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Blitz, Lawrence can be contacted via phone (973) 831-7455.

Contact Information

Primary practice address
1777 Hamburg Tpke Suite 102 Wayne NJ 07470-5211
Phone: (973) 831-7455
Fax: (973) 831-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 65348 New Jersey
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 65348 New Jersey

Profile Details

NPI number 1275596389
LBN Legal business name Blitz, Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Sep 11th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275596389 NPPES
New Jersey MEDICAID 7726805

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