Individual
DR. ADAM BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
564 1ST AVE, APT 17K, NEW YORK, NY 10016-6482
(651) 271-1496
Mailing address
564 1ST AVE, APT 17K, NEW YORK, NY 10016-6482
(651) 271-1496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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