Blank, Evan
Blank, Evan is an individual health care provider with primary practice located at 1 Brace Rd Ste C3 , Cherry Hill NJ 08034-2600. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Blank, Evan can be contacted via phone (856) 424-3600.Contact Information
Primary practice address
1 Brace Rd Ste C3
Cherry Hill NJ 08034-2600
Phone: (856) 424-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 25MA11696700 | New Jersey |
Profile Details
| NPI number | 1437543089 |
|---|---|
| LBN Legal business name | Blank, Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2015 |
| Last updated | Oct 9th, 2023 - about 3 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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