Individual
BLAISE P LATRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1690
(908) 859-6779
(908) 859-6813
Mailing address
10 BRASS CASTLE RD, WASHINGTON, NJ 07882-4327
(908) 835-1910
(908) 835-1886
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MA71175
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8359202
—
NJ
Enumeration date
05/19/2006
Last updated
12/01/2014
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