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Organization
RICHARD BLANCHAR MD PA
Active
Organization
RICHARD BLANCHAR MD PA
Active
Other names
BAYVIEW GENERAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY A MASTROSIMONE (OFFICE MANAGER)
(954) 776-6992
Entity
Organization
Contact information
Practice address
4401 W TRADEWINDS AVE, 3RD FLOOR, LAUDERDALE BY THE SEA, FL 33308-4463
(954) 776-6992
(954) 776-6969
Mailing address
4401 W TRADEWINDS AVE, 3RD FLOOR, LAUDERDALE BY THE SEA, FL 33308-4463
(954) 776-6992
(954) 776-6969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0042534
FL
Other
Enumeration date
07/15/2008
Last updated
07/24/2008
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