Individual
DR. MARK L BLITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 ORCHARD ST., SUITE 210, NEW HAVEN, CT 06511-4429
(203) 867-5400
(203) 867-5401
Mailing address
330 ORCHARD ST., SUITE 210, NEW HAVEN, CT 06511-4429
(203) 867-5400
(203) 867-5401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
037730
CT
174400000X
Specialist
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
037730
CT
Other
Enumeration date
06/23/2005
Last updated
07/02/2013
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