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Individual
DR. PHYLLIS SUSAN BLACHARSH
Active
Individual
DR. PHYLLIS SUSAN BLACHARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
180127
NY
207R00000X
Internal Medicine Physician
80282
MA
207R00000X
Internal Medicine Physician
G76403
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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