Individual
DR. BRYCE EDWARD BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11101 CATHAGE RD, BERLIN, MD 21811-2115
(410) 543-7119
(410) 677-6675
Mailing address
11101 CATHAGE RD, BERLIN, MD 21811-2115
(410) 543-7119
(410) 677-6675
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0087168
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
03/23/2015
Last updated
03/18/2025
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