Individual
A HATTON BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2140 HOWELL RD, MALVERN, PA 19355-9518
(610) 651-2713
(651) 651-2713
Mailing address
2140 HOWELL RD, MALVERN, PA 19355-9518
(610) 651-2713
(651) 651-2713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD432607
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD432607
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126457406
—
TX
01
—
8510M0
BCBS OF TX PROVIDER #
—
Enumeration date
07/20/2005
Last updated
07/15/2010
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