Thomas P Blodgett in Bidwell - Procedural Dermatology

Thomas P Blodgett - NPI 1619059516

Thomas P Blodgett is a Procedural Dermatology in Bidwell, Ohio. Thomas P Blodgett practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Thomas P Blodgett is 1619059516. The last update date is 2010-04-13.

Thomas P Blodgett's current location address is 39 Hidden Valley Dr, Bidwell, Ohio. You can contact this provider via phone number 7404467623 and fax number 7404467643. The mailing address for Thomas P Blodgett is 39 Hidden Valley Dr, Bidwell, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas P Blodgett
Address 39 Hidden Valley Dr, Bidwell, Ohio
Phone Number 7404467623
Fax Number 7404467643
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1619059516
Provider Enumeration Date 2006-10-19
Last Updated Date 2010-04-13

Provider Mailing Address Detail

Address 39 Hidden Valley Dr
City Bidwell
State Ohio (OH)
Post Code 456149591
Phone Number 7404467623
Fax Number 7404467643

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No 35073950B
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2065394 OH --

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FAQs about Thomas P Blodgett

What is the unique 10-digit identification code issued to Thomas P Blodgett by the Centers for Medicare & Medicaid Services?

The Thomas P Blodgett has been assigned the NPI (National Provider Identifier) 1619059516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Thomas P Blodgett is physically located?

The Thomas P Blodgett is situated at the following address: 39 Hidden Valley Dr, Bidwell, OH 456149591.

What is Thomas P Blodgett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Thomas P Blodgett's specialized field of practice is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ns0135X.

When did the Thomas P Blodgett receive its 1619059516?

The Thomas P Blodgett was issued its 1619059516 on 2006-10-19, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Thomas P Blodgett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thomas P Blodgett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-13.

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