Individual
SCOTT M BLANCHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-7522
Mailing address
554 KEILY STREET, BUREAU OF MEDICINE AND SURGERY ATTN: CENTRALIZED CREDEN, JACKSONVILLE, FL 32212
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
08/06/2020
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