Individual provider · Type 1 NPI

Lincoln W. Blackwood, P.A.

Surgical Physician Assistant · Livingston, NJ

NPI number 1912128679 Active

Practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Call (973) 322-2200 Map

Mailing address

7033 Tuscany Dr
Macungie, PA 18062-8972

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00033400 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1912128679

Lincoln W. Blackwood, P.A.'s National Provider Identifier is 1912128679, issued on May 1, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Livingston, NJ. The record was last updated on Jul 8, 2007.