Keith R Blicht DPM

NPI 1033147855 - Podiatrist - 213E00000X

NPI Details
NPI 1033147855
Gender Male
Enumeration Date 06/29/2006
Last Updated 11/16/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
114 W MOUNT PLEASANT AVE
LIVINGSTON NJ, 07039-2932, US
Phone (973) 994-2323
Fax (973) 994-1970
Business Location
254 WALNUT ST
NEWARK NJ, 07105-1717, US
Phone (973) 465-1717
Fax (973) 465-0822
Toxanomy
Taxonomy Code 213E00000X
License State New Jersey
License Number 25MD00216600
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According to our database, Dr. Keith R Blicht DPM NPI is 1033147855, taxonomy code is 213E00000X and license number is 25MD00216600, license state is located at New Jersey. Keith R Blicht DPM physically located at 114 W Mount Pleasant Ave, Livingston NJ, 07039-2932. NPI Number Keith R Blicht DPM has the Individual type.

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1033147855 NPI number is provided on an as is basis without warranty of any kind. 1033147855 is maintained by the National Plan & Provider Enumeration System. The contents of Keith R Blicht DPM are for informational purposes only.