Individual
DR. DEAN ALAN BLASS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 BOSTON ST, LYNN, MA 01904-3137
(781) 595-4544
Mailing address
7 THERESA RD, PEABODY, MA 01960-2011
(781) 595-4544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
55164
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092239
—
MA
01
—
D17048
BLUE SHIELD ID NUMBER
MA
Enumeration date
05/04/2006
Last updated
07/08/2007
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