Individual
JEFFREY BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 PENLLYN BLUE BELL PIKE, STE 101, BLUE BELL, PA 19422-1657
(215) 542-9700
(215) 542-9756
Mailing address
1 W ELM ST, STE 100, CONSHOHOCKEN, PA 19428-2007
(610) 567-6967
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD013386E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007869340011
—
PA
Enumeration date
05/31/2005
Last updated
07/28/2010
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