Individual
DR. JENNIFER M BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(203) 903-0596
Mailing address
20 W CANAL ST, APT 525, WINOOSKI, VT 05404-2131
(203) 903-0596
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036117811
IL
207P00000X
Emergency Medicine Physician
Primary
046941
CT
Other
Enumeration date
05/08/2007
Last updated
08/22/2011
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