Individual
DR. BRUCE IAN BLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7131 FRANKFORD AVE, PHILADELPHIA, PA 19135-1008
(215) 332-4164
Mailing address
101 E OLNEY AVE, STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD034733E
PA
Other
Enumeration date
07/15/2012
Last updated
01/15/2020
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