Provider Demographics
NPI:1639323702
Name:BLADY, JOSEPH ABRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ABRAHAM
Last Name:BLADY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 ONEIDA TRL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2217
Mailing Address - Country:US
Mailing Address - Phone:201-891-2575
Mailing Address - Fax:201-891-2571
Practice Address - Street 1:750 ONEIDA TRL
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2217
Practice Address - Country:US
Practice Address - Phone:201-891-2575
Practice Address - Fax:201-891-2571
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2008-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03799000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist