Individual
ELIZABETH M BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 JOSLIN PL, BOSTON, MA 02215-5306
(617) 732-2400
(617) 264-2712
Mailing address
1 JOSLIN PL, BOSTON, MA 02215-5306
(617) 732-2400
(617) 264-2712
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
135431
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP1868
BLUE CROSS
MA
01
—
S83243
MASSHEALTH
MA
Enumeration date
09/27/2006
Last updated
07/09/2007
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