Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN IRA BLANK, D.O.
ActiveDR. BENJAMIN IRA BLANK, D.O. is a Family Medicine healthcare provider located in GLENDORA, New Jersey. NPI 1891786455 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GLENDORA, NJ
Registration Details
- NPI Number
- 1891786455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.754162162895 yrs)
- Last Updated
- Sep 25, 2012
- License
-
25MB06092600 (NJ)
Practice Information
- Address
-
1300 BLACK HORSE PIKEGLENDORA, NJ, 080291308Browse NJ providers · Browse ZIP 08029
- Phone
- 8569392828
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.