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Individual
HAZEL M. BLUESTEIN
Active
Individual
HAZEL M. BLUESTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD027181E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019559
AETNA HMO
PA
01
—
0047233000
IBC - PC/KHPE
PA
01
—
080062760
RRM
PA
01
—
0916258
CIGNA HMO/PPO
PA
01
—
1017865
KEYSTONE MERCY
PA
01
—
102684
HIGHMARK BLUE SHIELD
PA
01
—
10923280
CAQH ID#
PA
01
—
223701
ALLIANCE/OPT CHC (MAMSI)
PA
01
—
350650
PHCS
PA
01
—
4100277
AETNA PPO
PA
Enumeration date
05/26/2006
Last updated
04/06/2021
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