Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Marc Blank, MS, EDM

Individual provider Specialist · NPI 1063774909

Mr. Marc Blank, MS, EDM is a Specialist in Manalapan, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

24 Baltusrol Dr
Manalapan, NJ 07726-9325
Phone: (732) 319-0191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Specialist Taxonomy 174400000X · Licence 510128931 (NY)

Record details

NPI number1063774909
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , EDM
Sole proprietorYes
NPI enumeratedJune 15, 2012
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021
Mailing address24 Baltusrol Dr, Manalapan, NJ 07726-9325

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