Timothy Blackwell, DO is a student in an organized health care education training program in North Bergen, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Timothy Blackwell, DO NPI is 1699356782. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7600 RIVER RD
NORTH BERGEN, NJ
ZIP 07047-217
Phone: (201) 854-5000
The enumeration date for this NPI number is 4/20/2021 and was last updated on 11/5/2022.