Individual
DR. MATTHEW J. BLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
376 E MAIN ST STE 202, BAY SHORE, NY 11706
(631) 396-7000
(631) 396-7026
Mailing address
376 E MAIN ST STE 202, BAY SHORE, NY 11706-8441
(631) 396-7000
(631) 396-7026
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
273750-1
NY
Other
Enumeration date
05/03/2011
Last updated
10/02/2019
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