Beth Blazevich is a Neonatal in New London, Connecticut. Beth Blazevich practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Beth Blazevich is 1629171848. The last update date is 2007-07-09.
Beth Blazevich's current location address is 365 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8604420711 and fax number 8602714224. The mailing address for Beth Blazevich is 365 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beth Blazevich |
|---|---|
| Address | 365 Montauk Ave, New London, Connecticut |
| Phone Number | 8604420711 |
| Fax Number | 8602714224 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1629171848 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 365 Montauk Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204700 |
| Phone Number | 8604420711 |
| Fax Number | 8602714224 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | 492 |
|
Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4014679 | CT | -- | |
| 4024972 | CT | -- |
Post Comment/ Review Below
Where is the Beth Blazevich located?
The Beth Blazevich is located at 365 Montauk Ave, New London, CT 63204700.
Could you please provide the complete physical location address of Beth Blazevich?
The Beth Blazevich is physically situated at 365 Montauk Ave, in the city of New London, state of CT, with the postal code 63204700.
What is the area of specialization for Beth Blazevich, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Beth Blazevich is Neonatal, and the corresponding taxonomy code that categorizes this area of expertise is 363Ln0000X.
When was the Beth Blazevich's 1629171848 issued?
The Beth Blazevich's 1629171848 was issued on 2006-09-06.
When was the information pertaining to Beth Blazevich most recently updated or revised?
The details related to Beth Blazevich, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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