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Individual

DR. TINA BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15 MUSSELL POINT WAY, GLOUCESTER, MA 01930-4073
(978) 281-0364
Mailing address
15 MUSSELL POINT WAY, GLOUCESTER, MA 01930-4073
(978) 281-0364

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43771
MA

Other

Enumeration date
10/12/2012
Last updated
10/12/2012
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