Provider Demographics
NPI:1508228909
Name:DROBIT-BLAIR, ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:DROBIT-BLAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CINNAMINSON AVE
Mailing Address - Street 2:BUILDING B
Mailing Address - City:PALMYRA
Mailing Address - State:NJ
Mailing Address - Zip Code:08065-2500
Mailing Address - Country:US
Mailing Address - Phone:856-735-1011
Mailing Address - Fax:856-727-8899
Practice Address - Street 1:700 CINNAMINSON AVE
Practice Address - Street 2:BUILDING B
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-2500
Practice Address - Country:US
Practice Address - Phone:856-735-1011
Practice Address - Fax:856-727-8899
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
232714911172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker