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Individual

PETER VIGGO BLAES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
208 MONROE ST, ROCKVILLE, MD 20850
(301) 309-8200
(301) 309-9667
Mailing address
208 MONROE ST, ROCKVILLE, MD 20850
(301) 309-8200
(301) 309-9667

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0038700
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260048905
RAILROAD MEDICARE
DC
Enumeration date
01/03/2007
Last updated
05/06/2008
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