Stephen Alan Gootblatt MD

NPI 1053587212 - Internal Medicine - 207R00000X

NPI Details
NPI 1053587212
Gender Male
Enumeration Date 05/07/2008
Last Updated 05/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
171 A BOXWOOD DRIVE
LAKEWOOD NJ, 08701, US
Phone (732) 367-6079
Fax (732) 367-6079
Business Location
171 A BOXWOOD DRIVE
LAKEWOOD NJ, 08701, US
Phone (732) 367-6079
Fax (732) 367-6079
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number 25MA08071600
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According to our database, Dr. Stephen Alan Gootblatt MD NPI is 1053587212, taxonomy code is 207R00000X and license number is 25MA08071600, license state is located at New Jersey. Stephen Alan Gootblatt MD physically located at 171 A Boxwood Drive, Lakewood NJ, 08701. NPI Number Stephen Alan Gootblatt MD has the Individual type.

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1053587212 NPI number is provided on an as is basis without warranty of any kind. 1053587212 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Alan Gootblatt MD are for informational purposes only.