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Individual

DR. NATALIE BLAGOWIDOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6701 N CHARLES ST, ROOM 2310, BALTIMORE, MD 21204-6808
(443) 849-2536
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568

Taxonomy

Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
D56939
MD
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
D56939
MD
207VE0102X
Reproductive Endocrinology Physician
D56939
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
726502600
MD
01
KJ67/610218-01
CAREFIRST MARYLAND GBMC
MD
01
S128/0003
CAREFIRST REGIONAL GBMC
MD
Enumeration date
06/03/2006
Last updated
04/21/2008
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