Individual
HALWARD M BLEGEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 STATE RD, SAGAMORE BEACH, MA 02562-2362
(508) 888-7221
(508) 888-2062
Mailing address
180 STATE RD, PO BOX 315, SAGAMORE BEACH, MA 02562-2362
(508) 888-7221
(508) 888-2062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49939
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175374
—
MA
Enumeration date
08/15/2005
Last updated
07/02/2012
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