Individual
DR. CHARLES BLOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MAIN STREET, STOCKBRIDGE, MA 01262
(139) 315-3444
(413) 298-4020
Mailing address
PO BOX 962, STOCKBRIDGE, MA 01262-0962
(413) 931-5344
(413) 298-4020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
287492
MA
Other
Enumeration date
07/05/2017
Last updated
12/29/2021
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