Individual
MATTHEW BLANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10718 TAYLOR FARM RD, WOODSTOCK, MD 21163-1429
(410) 868-4401
Mailing address
10718 TAYLOR FARM RD, WOODSTOCK, MD 21163-1429
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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