Martin Blackwell Do LLC

NPI #1770856718 in Newton, New Jersey

Provider Information

NPI Number: 1770856718
Entity Type: Organization
Organization Name: Martin Blackwell Do LLC
Primary Specialty: Dermatology
Enumeration Date: Feb 22, 2012
Last Updated: Apr 3, 2012

Practice Location

Address: 136 WOODSIDE AVE
City: Newton
State: New Jersey
ZIP Code: 07860-2313
Phone: (973) 300-0555

Authorized Official

Name: DR. MARTIN BLACKWELL, D.O.
Title: OWNER
Phone: (973) 300-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Associated Dermatology	Dermatology	Newton	AI Deep Dive
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