Jillian Kalitz

Specialty details in registry · Blackwood, NJ

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At a glance

301 Grand Ave, Blackwood, NJ 08012-3845

NPPES record updated Oct 14, 2020. Public records can lag behind changes at a practice.

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Practice location

301 Grand Ave
Blackwood, NJ 08012-3845

Professional details: NPI, taxonomy & registry record

NPI1790383461

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 133V00000X
Enumeration date: Oct 14, 2020
Record updated: Oct 14, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

133V00000X · Primary

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

Practice location

301 Grand Ave
Blackwood, NJ 08012-3845

Phone: (856) 889-7697

Mailing address

301 GRAND AVE

BLACKWOOD, NJ 080123845

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

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