Organization
MARK BLATT ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BLATT MD (OWNER)
(203) 512-3152
Entity
Organization
Contact information
Practice address
3175 GRANADA DR, CAMERON PARK, CA 95682-8142
(203) 512-3152
Mailing address
3175 GRANADA DR, CAMERON PARK, CA 95682-8142
(203) 512-3152
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
022835
CT
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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