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Individual
DR. PETER B BLANK
Active
Individual
DR. PETER B BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042957
CT
207X00000X
Orthopaedic Surgery Physician
25MB08046600
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
223598
NY
Other
Enumeration date
05/16/2006
Last updated
02/24/2016
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