Individual
IRA B BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 POWELL ST, NORRISTOWN, PA 19401-3323
(610) 270-2717
(610) 270-2675
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2352
(610) 270-2358
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD026563L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD026563L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046559000
IBC - PC, KHPE
PA
01
—
0071056001
AMERICHOICE(UHC)
PA
01
—
014338
HIGHMARK BLUE SHIELD
PA
01
—
1072341
KEYSTONE MERCY
PA
01
—
2559705
AETNA HMO
PA
01
—
350649
PHCS
PA
01
—
4642402
AETNA PPO
PA
01
—
7222159
CIGNA HMO/PPO
PA
01
—
MD26563L
HEALTH PARTNERS
PA
Enumeration date
01/17/2006
Last updated
09/11/2025
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