Keith R Blicht is a Podiatrist in Livingston, New Jersey. Keith R Blicht practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Keith R Blicht is 1033147855. The last update date is 2010-11-16.
Keith R Blicht's current location address is 114 W Mount Pleasant Ave, Livingston, New Jersey. You can contact this provider via phone number 9739942323 and fax number 9739941970. The mailing address for Keith R Blicht is 114 W Mount Pleasant Ave, Livingston, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith R Blicht |
|---|---|
| Address | 114 W Mount Pleasant Ave, Livingston, New Jersey |
| Phone Number | 9739942323 |
| Fax Number | 9739941970 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1033147855 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2010-11-16 |
Provider Mailing Address Detail
| Address | 114 W Mount Pleasant Ave |
|---|---|
| City | Livingston |
| State | New Jersey (NJ) |
| Post Code | 703929320 |
| Phone Number | 9739942323 |
| Fax Number | 9739941970 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 25MD00216600 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5526906 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keith R Blicht?
The Keith R Blicht has been issued the NPI (National Provider Identifier) 1033147855 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Keith R Blicht's physical address?
The Keith R Blicht is physically located at 114 W Mount Pleasant Ave, in the city of Livingston, NJ, with the postal code 703929320.
What is Keith R Blicht's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith R Blicht's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033147855 to Keith R Blicht?
The Centers for Medicare & Medicaid Services originally issued the 1033147855 to Keith R Blicht on 2006-06-29.
As of what date were the Keith R Blicht's details last updated?
The information pertaining to the Keith R Blicht, including its address, specialty, and other details, was most recently updated on 2010-11-16.
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