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Individual

DR. SHAIDA NASIRI-BLOMGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-5928
Mailing address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-5928

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
C1-0012673
DE
208000000X
Pediatrics Physician
A140317
CA
208000000X
Pediatrics Physician
C1-0012673
DE
2080P0206X
Pediatric Gastroenterology Physician
Primary
C1-0012673
DE
2080P0206X
Pediatric Gastroenterology Physician
MD468912
PA

Other

Enumeration date
06/25/2013
Last updated
04/19/2020
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