Individual
MR. ROBERT PAUL BLAISDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000
Mailing address
28 JOSEPH LN, COLCHESTER, CT 06415-2039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CT
Other
Enumeration date
09/01/2017
Last updated
04/19/2021
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