Individual
BLAISE P LATRIANO
Active
Individual
BLAISE P LATRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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