Individual
JUAN C. BLAS-BORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7732
(717) 270-7639
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD418251
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD418251
PA
2085U0001X
Diagnostic Ultrasound Physician
MD418251
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101397030
—
PA
Enumeration date
05/23/2006
Last updated
02/05/2026
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