MEDICARE: DR. SARAH W BLECHERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MA064017	NJ

General Provider Information

NPI Number	:	1548236060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH W BLECHERMAN MD

Provider Business Mailing Address
First Line	:	1403 RTE 23 S
Second Line	:
City	:	BUTLER
State	:	NJ
Zip	:	07405
Country	:	US
Telephone Number	:	973-283-2200
Fax Number	:	973-283-0406

Provider Business Practice Location Address
First Line	:	1403 RTE 23 S
Second Line	:
City	:	BUTLER
State	:	NJ
Zip	:	07405
Country	:	US
Telephone Number	:	973-283-2200
Fax Number	:	973-283-0406

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	07/08/2007

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