Mark L Blitzer in New Haven - Specialist

Mark L Blitzer - NPI 1164428207

Mark L Blitzer is a Specialist in New Haven, Connecticut. Mark L Blitzer practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark L Blitzer is 1164428207. The last update date is 2013-07-02.

Mark L Blitzer's current location address is 330 Orchard St., New Haven, Connecticut. You can contact this provider via phone number 2038675400 and fax number 2038675401. The mailing address for Mark L Blitzer is 330 Orchard St., New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark L Blitzer
Address 330 Orchard St., New Haven, Connecticut
Phone Number 2038675400
Fax Number 2038675401
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1164428207
Provider Enumeration Date 2005-06-23
Last Updated Date 2013-07-02

Provider Mailing Address Detail

Address 330 Orchard St.
City New Haven
State Connecticut (CT)
Post Code 65114429
Phone Number 2038675400
Fax Number 2038675401

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 37730
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Mark L Blitzer

What is the Mark L Blitzer's 1164428207?

The Mark L Blitzer's NPI (National Provider Identifier) Number is 1164428207. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mark L Blitzer is physically located?

The Mark L Blitzer is physically situated at the following address: 330 Orchard St., New Haven, CT, 65114429.

What is Mark L Blitzer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark L Blitzer's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Mark L Blitzer receive the assignment of its 1164428207 from the Centers for Medicare & Medicaid Services?

The Mark L Blitzer was issued its 1164428207 by the Centers for Medicare & Medicaid Services on 2005-06-23.

As of what date were the details related to Mark L Blitzer most recently updated or revised?

The information pertaining to Mark L Blitzer, including its address, specialty, and other relevant details, was last updated or revised on 2013-07-02.

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