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Specialty details in registry · Blackwood, NJ

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At a glance

3408 Hight Street, Blackwood, NJ 08012

NPPES record updated Dec 6, 2017. Public records can lag behind changes at a practice.

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Practice location

3408 Hight Street
Blackwood, NJ 08012

Professional details: NPI, taxonomy & registry record

NPI1245745777

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 320900000X
Enumeration date: Dec 6, 2017
Record updated: Dec 6, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

320900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3408 Hight Street
Blackwood, NJ 08012

Phone: (856) 767-3650

Mailing address

215 W WHITE HORSE PIKE

BERLIN, NJ 080091132

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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