| Douglas G Blackmore | |
|
1 Plaza Ln Ramsey NJ 07446-1829 | |
| (201) 934-7707 | |
| Not Available |
| Full Name | Douglas G Blackmore |
|---|---|
| Speciality | Dentist |
| Location | 1 Plaza Ln, Ramsey, New Jersey |
| Authorized Official Name and Position | Douglas G Blackmore (OWNER) |
| Authorized Official Contact | 2019347707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas G Blackmore 1 Plaza Ln Ramsey NJ 07446-1829 Ph: (201) 934-7707 | Douglas G Blackmore 1 Plaza Ln Ramsey NJ 07446-1829 Ph: (201) 934-7707 |
| NPI Number | 1841416229 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 02/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841416229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI 015264 (New Jersey) | Primary |
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