Individual
JOEL MITCHELL BLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 FORESTVILLE RD STE 100, RALEIGH, NC 27616-8774
(860) 882-7525
Mailing address
90 SOUTHSIDE AVE STE 350, ASHEVILLE, NC 28801-4184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166612
NY
208D00000X
General Practice Physician
2016-00926
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00968290
—
NY
05
—
1154429850
—
NC
Enumeration date
09/20/2006
Last updated
10/06/2023
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