Individual
RICHARD H BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1336
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1336
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
57843
MA
2085R0202X
Diagnostic Radiology Physician
Primary
57843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3043479
—
MA
Enumeration date
06/01/2006
Last updated
10/28/2019
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