Provider Demographics
NPI:1467585398
Name:BLITZ, ERROL C
Entity Type:Individual
Prefix:DR
First Name:ERROL
Middle Name:C
Last Name:BLITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-5500
Mailing Address - Country:US
Mailing Address - Phone:609-395-0880
Mailing Address - Fax:609-395-0158
Practice Address - Street 1:100 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-5500
Practice Address - Country:US
Practice Address - Phone:609-395-0880
Practice Address - Fax:609-395-0158
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00336000111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation