Individual
MARY E. BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
79 SAND PIT ROAD, 102, DANBURY, CT 06810-4010
(203) 749-5700
Mailing address
79 SAND PIT ROAD, SUITE 102, DANBURY, CT 06810-4010
(203) 749-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029343
CT
Other
Enumeration date
06/17/2006
Last updated
10/22/2010
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