Basic Information
| Provider Information | |||||||||
| NPI: | 1588275788 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAUNDERS | ||||||||
| FirstName: | BLAIR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 137 PINE BANK RD | ||||||||
| Address2: | |||||||||
| City: | FLEMINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088227167 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9083037158 | ||||||||
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| Practice Location | |||||||||
| Address1: | 537 US HIGHWAY 22 E | ||||||||
| Address2: | |||||||||
| City: | WHITEHOUSE STATION | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088893696 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082374155 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2020 | ||||||||
| LastUpdateDate: | 08/13/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 26NJ01044100 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.