Blitzstein, Barry M

Blitzstein, Barry M is an sole proprietor health care provider with primary practice located at 219 Twin Lakes Dr , Mantua NJ 08051-1666. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blitzstein, Barry M can be contacted via phone (856) 468-5635.

Contact Information

Primary practice address
219 Twin Lakes Dr Mantua NJ 08051-1666
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22D100843200 New Jersey

Profile Details

NPI number 1497957534
LBN Legal business name Blitzstein, Barry M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 8th, 2007 - about 19 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 1497957534 NPPES
Other 221852645000 FEDERAL IDENTIFICATION NO

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