Search › New Jersey › 1041C0700X
Christian Blackwell
NPI 1457072654 · on the registry since 2022
Practice
- Address
- 274 Boyden Ave
Maplewood, NJ 07040 - Phone
- (201) 407-3977
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey