Theodore Blaszczyk M.D.

NPI 1962588640 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1962588640
Gender Male
Enumeration Date 10/27/2006
Last Updated 09/10/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2500 NESCONSET HWY
BLDG 20B
STONY BROOK NY, 11790-2555, US
Phone (631) 751-3535
Fax
Business Location
22 WATERVILLE RD
AVON CT, 06001-2066, US
Phone
Fax
Toxanomy
Taxonomy Code 207VG0400X
License State New York
License Number 169211
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According to our database, Theodore Blaszczyk M.D. NPI is 1962588640, taxonomy code is 207VG0400X and license number is 169211, license state is located at New York. Theodore Blaszczyk M.D. physically located at 2500 Nesconset Hwy, Stony Brook NY, 11790-2555. NPI Number Theodore Blaszczyk M.D. has the Individual type.

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1962588640 NPI number is provided on an as is basis without warranty of any kind. 1962588640 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Blaszczyk M.D. are for informational purposes only.