Individual
DR. HAGEN BLASZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2959
Mailing address
324 GANNETT DR, SUITE 200, SOUTH PORTLAND, ME 04106-3270
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
017569
ME
Other
Enumeration date
07/10/2006
Last updated
08/21/2009
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