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Individual

ROBERT C BLUE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GUSTAVE L LEVY PL, DEPT OF RADIOLOGY, BOX 1234, NEW YORK, NY 10029-6504
(212) 241-1497
Mailing address
1 GUSTAVE L LEVY PL, DEPT OF RADIOLOGY, BOX 1234, NEW YORK, NY 10029-6504
(212) 241-1497

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN17989
FL
2085R0202X
Diagnostic Radiology Physician
Primary
273850
NY

Other

Enumeration date
06/20/2012
Last updated
10/14/2014
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