Individual
DR. RITA A BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 HARRISON AVE, MOAKLEY, 3RD FLOOR, BOSTON, MA 02118-2905
(617) 638-6428
(617) 638-5756
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45311
MA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
45311
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110001029A
—
MA
Enumeration date
12/13/2005
Last updated
01/17/2014
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