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Individual
CARLOS JESUS BLATTNER
Active
Individual
CARLOS JESUS BLATTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101032582
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241654
ANTHEM BLUE CROSS
VA
05
—
6209068
—
VA
01
—
890650V
NC MEDICAID
NC
Enumeration date
10/19/2006
Last updated
04/09/2010
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