# BLAIR MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821130733
- **Authorized official:** JENNIFER L BRYAN (PROJECTS MGR.)
- **Authorized official phone:** (814) 949-7621

## Contact information

- **Practice address:** 721 N JUNIATA ST, FIRST FLOOR SUITE, HOLLIDAYSBURG, PA 16648-1455
- **Practice address phone:** (814) 695-5591
- **Practice address fax:** (814) 695-7419
- **Mailing address:** 1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
- **Mailing address phone:** (814) 946-1655
- **Mailing address fax:** (814) 949-7616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 04/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0007641130011 | NIYAZ M. AZAD, MD MA NUMBER FOR H-BURG OFFICE | PA |
| 01 | — | 1007393100102 | HOLLIDAYSBURG OFFICE MA NUMBER | PA |
| 01 | — | 1015341 | GATEWAY H-BURG OFFICE | PA |
| 01 | — | 142869 | HIGHMARK PCP GROUP NO. | PA |
| 01 | — | W412 | GEISINGER OFFICE NO. | PA |